2021 and 2023 National Youth Risk Behavior Surveys and 2021 ABES

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0493 2021-2023 Youth Risk Behavior Survey	Form and Instruction	Modified	Available
Form 0920-0493 ABES Data Collection Checklist	Form and Instruction	New	Available
Form 0920-0493 ABES School Level Recruitment Script	Form and Instruction	New	Available
Form 0920-0493 ABES District Level Recruitment Script	Form and Instruction	New	Available
Form 0920-0493 ABES State Level Recruitment Script	Form and Instruction	New	Available
Form 0920-0493 Adolescent Behaviors and Experiences Survey	Form and Instruction	New	Available
Form 0920-0493 2021-2023 Data Collection Checklist	Form and Instruction	Modified	Repair queued
Form 0920-0493 2021-2023 School-Level Recruitment Script	Form and Instruction	Modified	Available
Form 0920-0493 2021-2023 District-Level Recruitment Script	Form and Instruction	Modified	Repair queued
Form 0920-0493 2021-2023 State-Level Recruitment Script	Form and Instruction	Modified	Available
Att P12_ABES Letter to Agreeing Schools In Person.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att P11_ABES Letter to Agreeing Schools EDL.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att P10_ABES Fact Sheet for Schools.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att P9_ABES Letter of Invitation to School Administrators.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att P8_ABES Letter of Invitation to School Districts.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att P7_ABES Letter of Invitation to States.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att O4_ABES Letter to Teachers In Person.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att O3_ABES Letter to Teachers EDL.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att I13_ABES_ParentPermissionRemdNoticeEn In Person-Spanish.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att I12_ABES_ParentPermissionRemdNoticeEn EDL-Spanish.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att I11_ABES_ParentPermissionRemdNoticeEn In Person.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att I10_ABES_ParentPermissionRemdNoticeEn EDL.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att I9_ABES ParentPermissionDistScript In Person.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att I8_ABES ParentPermissionDistScript EDL.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att I7_ABES_ParentalPermissionFormandFactSheet_Spanish.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att I6_ABES_ParentalPermissionFormandFactSheet_English.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att H4_ABES Survey Adminstrator Student Video Script_Spanish.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att H3_ABES Survey Adminstrator Student Video Script.docx	Supplementary Document	Uploaded 2020-10-30	Repair queued
Att Q PIA_YRBS Signed 3-16-2020.pdf	Supplementary Document	Uploaded 2020-05-20	Repair queued
Att P6_Letter to Agreeing Schools.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att P5_YRBSFactSheetSchls-Tablet.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att P4_YRBSFactSheetSchls-Booklet.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att P3_LetterofInvitationSchlAdmins.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att P2_LetterofInvitationtoSchlDist.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att P1_Letter of Invitation to STs.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att O2_Make-up List & Instructions.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att O1_LettertoTeachersinPartSchls.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att N_Sampling and Weighting Plan v2.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att M_Example Table Shells.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att J_IRB Approval Letters.pdf	Supplementary Document	Uploaded 2020-05-20	Available
Att I5_ParentPermissionRemdNoticeSp.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att I4_ParentPermissionRemdNoticeEn.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att I3_ParentPermissionDistScript.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att I2_ParentPermission&FactSheetSp.docx	Supplementary Document	Uploaded 2020-10-30	Available
Att I1_ParentPermission&FactSheetEn.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att H2_SurveyAdminScript - Tablet.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att H1_SurveyAdminScript - Booklet.docx	Supplementary Document	Uploaded 2020-05-20	Repair queued
Att F_Repton2018YRBSExtPeerReview.pdf	Supplementary Document	Uploaded 2020-05-20	Available
Att E_ExptReviewers for 1989Conslts.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att D_Rationale for SurveyQuestions.docx	Supplementary Document	Uploaded 2020-05-20	Available
Att B_60 Day FRN_Published.2-28-20pdf.pdf	Supplementary Document	Uploaded 2020-05-20	Available
Att A_Legislation.docx	Supplementary Document	Uploaded 2020-05-20	Available
SS Part B.docx	Supporting Statement B	Uploaded 2020-10-30	Available
SS Part A.docx	Supporting Statement A	Uploaded 2020-10-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6930	2021-2023 Youth Risk Behavior Survey	Form and Instruction	Modified
244330	ABES Data Collection Checklist	Form and Instruction	New
244329	ABES School Level Recruitment Script	Form and Instruction	New
244328	ABES District Level Recruitment Script	Form and Instruction	New
244327	ABES State Level Recruitment Script	Form and Instruction	New
244325	Adolescent Behaviors and Experiences Survey	Form and Instruction	New
184922	2021-2023 Data Collection Checklist	Form and Instruction	Modified
184921	2021-2023 School-Level Recruitment Script	Form and Instruction	Modified
184920	2021-2023 District-Level Recruitment Script	Form and Instruction	Modified
184919	2021-2023 State-Level Recruitment Script	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0493	ICR Reference No: 202005-0920-002
Status: Active	Previous ICR Reference No: 201605-0920-018
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0493
Title: 2021 and 2023 National Youth Risk Behavior Surveys and 2021 ABES
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/02/2020
	Date Received in OIRA: 06/02/2020
Terms of Clearance: CDC will work with their desk officer if nonsubstantive changes are necessary, including for drawing supplemental samples to meet the precision goals or additional questions regarding the impact of COVID-19 need to be added for this or future administrations of the ABES or YRBS.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2023	36 Months From Approved
Responses	29,231	0	0
Time Burden (Hours)	21,097	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The school-based National Youth Risk Behavior Survey (YRBS) is a biennial survey of high school students that assesses priority health risk behaviors related to the major preventable causes of mortality, morbidity, and social problems in the U.S. Minor changes incorporated into this reinstatement request include: an updated title for the information collection to accurately reflect the years in which the survey will be conducted, a slightly modified questionnaire, and a transition to a tablet-based methodology in 2023. There was a reduction in respondents In the YRBS portion of the collection. For spring 2021 will use the ABES survey instruments and then transition back to YRBS for fall 2021 and 2023. The proposed research will use the previously OMB-approved sampling strategy, recruitment methods, and data collection procedures to conduct the YRBS among nationally representative samples of 9th-12th grade students in public and private schools in the U.S.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 11993	02/28/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 33682	06/02/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Adolescent Behaviors and Experiences Survey	0920-0493	ABES Questionnaire
ABES District Level Recruitment Script	0920-0493	ABES District Level Script
ABES State Level Recruitment Script	0920-0493	ABES States Level Script
ABES School Level Recruitment Script	0920-0493	ABES School Level Script
ABES Data Collection Checklist	0920-0493	ABES Data Collection Checklist
2021-2023 Youth Risk Behavior Survey	0920-0493	Youth Risk Behavior Questionnaire 2021 - 2023
2021-2023 State-Level Recruitment Script	0920-0493	State-Level Recruitment Script for YRBS
2021-2023 District-Level Recruitment Script	0920-0493	District-Level Recruitment Script for YRBS
2021-2023 School-Level Recruitment Script	0920-0493	School-Level Recruitment Script for YRBS
2021-2023 Data Collection Checklist	0920-0493	Data Collection Checklist for YRBS

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	29,231	0	0	29,231	0	0
Annual Time Burden (Hours)	21,097	0	0	21,097	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden increase is due to the addition of ABES for 2021.

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Annual Cost to Federal Government: $1,454,663

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/02/2020

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