Teen and Parent Surveys of Health (TAPS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Adolescent 18-19 yo Survey	Form and Instruction	New	Available
Adolescent 15-17 yo Survey	Form and Instruction	New	Repair queued
Adult/Caregiver Survey	Form and Instruction	New	Available
Att 21 Parent Survey Reminder Letter.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 20 Parent Survey Invitation Letter.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 19 Teen Survey Final Reminder Letter.docx	Supplementary Document	Uploaded 2021-10-15	Available
Att 18 Teen Survey Reminder Letter.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 17 Teen Survey Invitation Letter.docx	Supplementary Document	Uploaded 2021-10-15	Available
Att 16 Parent survey recruitment emails.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 15 Teen Survey Recruitment Emails.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 14 SMS Prompts.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 13 Phone Script.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 12 AmeriSpeak Technical Overview.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 9 NORC IRB Amendment Approval Letter.pdf	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 8 NORC IRB Approval Letter.pdf	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 7 NAHS AmeriSpeak Teen Survey Assent.docx	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 6 NAHS AmeriSpeak Parent Survey Consent_final.docx	Supplementary Document	Uploaded 2021-10-15	Missing upstream
Att 5 PIA_TAPS.pdf	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 2 60 Day published 7-2-2021 21GA.pdf	Supplementary Document	Uploaded 2021-10-15	Repair queued
Att 1 PHSA.pdf	Supplementary Document	Uploaded 2021-10-15	Repair queued
SSB_final.docx	Supporting Statement B	Uploaded 2021-10-15	Available
DASH_TAPS SSA_clean_ 101221.docx	Supporting Statement A	Uploaded 2021-10-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249761	Adolescent 18-19 yo Survey	Form and Instruction	New
249757	Adolescent 15-17 yo Survey	Form and Instruction	New
249756	Adult/Caregiver Survey	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202110-0920-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-21GA
Title: Teen and Parent Surveys of Health (TAPS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/19/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	24 Months From Approved
Responses	4,134	0
Time Burden (Hours)	1,378	0
Cost Burden (Dollars)	0	0

---

Abstract: Using a contractor's online survey panel, we will collect information from a national sample of adolescents ages 15 to 19 years, and a subsample of matched parents/guardians to (1) describe the prevalence of key factors that protect young people’s health (including family and school-level protective factors), health education experiences, health service use, and health behaviors and experiences and (2)examine associations between these factors and adolescent mental health, sexual and reproductive health, and substance use outcomes. Data will be used to inform the CDC's Division of Adolescent and School Health key school-based programmatic strategies.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 35294	07/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 57834	10/19/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Adolescent 15-17 yo Survey	N/A	Adolescent Survey of Health 2021
Adolescent 18-19 yo Survey	N/A	Adolescent Survey of Health 2021
Adult/Caregiver Survey	N/A	Parent Survey of Health 2021

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	4,134	0	0	4,134	0	0
Annual Time Burden (Hours)	1,378	0	0	1,378	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: This is a new collection.

---

Annual Cost to Federal Government: $580,687

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

---

Common Form ICR:  No

---

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: 10/19/2021

---