School Level Recruitment Script

National Youth Tobacco Surveys (NYTS) 2021-2023

⚠️ Notice: This information collection may be referencing outdated material.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 School Level Recruitment Script Form and Instruction
0920-0621 School Level Recruitment Script G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx Form and Instruction
0920-0621 School Level Recruitment Script G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx Form and Instruction

Information Collection (IC) Details

IC Title:	School Level Recruitment Script	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	School Level Recruitment Script	G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 509	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	509	269	240
Annual IC Time Burden (Hours)	255	135	120
Annual IC Cost Burden (Dollars)	0	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.