H1. NYTS 2018 Questionnaire (Pre-test)

National Youth Tobacco Surveys (NYTS) 2015-2017

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0621 H1. NYTS 2018 Questionnaire (Pre-test) Form
0920-0621 National Youth Tobacco Survey (NYST) 2018 Questionnaire H1_2018_NYTS_Questionnaire.docx Form

Information Collection (IC) Details

IC Title:	H1. NYTS 2018 Questionnaire (Pre-test)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	0920-0621	National Youth Tobacco Survey (NYST) 2018 Questionnaire	H1_2018_NYTS_Questionnaire.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.