Information Collection

YRBS Questionnaire

IC 244892 under ICR 202012-0920-007 · OMB 0920-1334.

Documents and Forms

Document Name Document Type
Form 0920- YRBS Questionnaire Form and Instruction
0920- 2021 National Youth Risk Behavior Survey Att C-2021 National YRBS Questionnaire.docx Form and Instruction
0920- 2021 National Youth Risk Behavior Survey Att C-2021 National YRBS Questionnaire.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	YRBS Questionnaire	Agency IC Tracking Number:	0920-20OJ

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 and Instruction	0920-	2021 National Youth Risk Behavior Survey	Att C-2021 National YRBS Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,500	1,500
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.