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G1. Guidelines For School Contacts
National Youth Tobacco Surveys (NYTS) 2015-2017
OMB: 0920-0621
IC ID: 185553
OMB.report
HHS/CDC
OMB 0920-0621
ICR 201801-0920-005
IC 185553
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:
2024-01-19 - Revision of a currently approved collection
2022-04-06 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0621
G1. GUIDELINES FOR SCHOOL CONTACTS
Form and Instruction
0920-0621 GUIDELINES FOR SCHOOL CONTACTS {Year} NATIONAL YOUTH TOB
G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx
Form and Instruction
G2_School Invitation Letter template.docx
G2. School Invitation Letter
IC Document
G3_Letter to Agreeing School.docx
G3.Letter to Agreeing School
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
G1. GUIDELINES FOR SCHOOL CONTACTS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-0621
GUIDELINES FOR SCHOOL CONTACTS {Year} NATIONAL YOUTH TOBACCO SURVEY
G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
240
0
20
0
0
220
Annual IC Time Burden (Hours)
120
0
10
0
0
110
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
G2. School Invitation Letter
G2_School Invitation Letter template.docx
04/25/2018
G3.Letter to Agreeing School
G3_Letter to Agreeing School.docx
04/25/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.