Information Collection Request

National Youth Tobacco Surveys (NYTS) 2021-2023

ICR 202203-0920-009 · OMB 0920-0621 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0621 National Youth Tobacco Survey (NYTS) Form and Instruction Modified Available
Form 0920-0621 National Youth Tobacco Survey (NYTS) 2020 Questionnaire Form and Instruction Modified Repair queued
Form 0920-0621 NYTS Cognitive Testing Youth Recruitment Screener Questionnaire Form and Instruction Modified Available
Form 0920-0621 NYTS Cognitive Testing Youth Recruitment Screener Questionnaire Form and Instruction Modified Repair queued
Form 0920-0621 NYTS Cognitive Testing Youth Screener Form and Instruction Modified Repair queued
Form 0920-0621 NYTS Cognitive Testing Parent/ Guardian Screener Form and Instruction Modified Available
Form 0920-0621 Data Collection Checklist Form and Instruction Unchanged Available
Form 0920-0621 Data Collection Checklist Form and Instruction Unchanged Repair queued
Form 0920-0621 School Level Recruitment Script Form and Instruction Unchanged Available
Form 0920-0621 School Level Recruitment Script Form and Instruction Unchanged Available
(0920-0621)_2023_NYTS_NS_Change_Memo_Combined_(2022.03.21).docx Justification for No Material/Nonsubstantive Change Uploaded 2022-04-05 Available
0621 NYTS Att P_Summary of School Arrangements (SSA) forms.pdf Supplementary Document Uploaded 2021-01-14 Available
0621 NYTS Att O_G1_NYTS Online Teacher Landing Page-Class Enrollment Form.pdf Supplementary Document Uploaded 2021-01-14 Available
0621 NYTS Att N_Student and Teacher Video Scripts.pdf Supplementary Document Uploaded 2021-01-14 Available
0621~9%N.PDF Supplementary Document Uploaded 2021-01-14 Available
0621~4%Y.PDF Supplementary Document Uploaded 2021-01-14 Available
0621 NYTS Att M2_Dear Teacher Letter_On-Campus Instruction_Passive Permission.pdf Supplementary Document Uploaded 2021-01-14 Available
0621 NYTS Att M1_Dear Teacher Letter_On-Campus Instruction_Active Permission.pdf Supplementary Document Uploaded 2021-01-14 Repair queued
Justification for SOGI questions.docx Supplementary Document Uploaded 2020-08-25 Repair queued
0621 NYTS PIA FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att L_2021 Sampling Design FINAL.docx Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att K_SampleTable Shells FINAL.docx Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att J2 Contractor IRB Approval FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att J1_CDC IRB Approval FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att I 2019 Refusal Conversion and Nonresponder Cover Memos FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H9_Questionnaire Administration Script FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H8_SPANISH Parental Permission Form Reminder - FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H7_ENGLISH Parental Permission Form Reminder - FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H6_SPANISH Parental Permission Form and Fact Sheet - Passive FINAL.pdf Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att H5_SPANISH Parental Permission Form and Fact Sheet - Active FINAL.pdf Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att H4_ENGLISH Parental Permission Form and Fact Sheet - Passive FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H3_ENGLISH Parental Permission Form and Fact Sheet - Active FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att H2_Parental Permission Form Distribution Script FINAL.pdf Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att G2_NYTS 2021 Dear Teacher Ltr FINAL.pdf Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att F3_NYTS Letter to Agreeing Schools FINAL.pdf Supplementary Document Uploaded 2020-08-14 Repair queued
0621 NYTS Att F2_NYTS School Invitation Letter FINAL.pdf Supplementary Document Uploaded 2020-08-14 Available
0621 NYTS Att E2_NYTS District Invitation Letter FINAL.pdf Supplementary Document Uploaded 2020-08-10 Repair queued
0621 NYTS Att D2_NYTS State Invitation Letter FINAL.pdf Supplementary Document Uploaded 2020-08-10 Repair queued
0621 NYTS Att C NYTS Publications FINAL.docx Supplementary Document Uploaded 2020-08-10 Repair queued
0621 NYTS Att B State Tobacco Control Rpts of NYTS Data 0919 FINAL.docx Supplementary Document Uploaded 2020-08-10 Repair queued
0621 NYTS Att A2 60 Day FRN Published FINAL.pdf Supplementary Document Uploaded 2020-08-10 Repair queued
0621 Att A1_Authorizing Legislation FINAL.docx Supplementary Document Uploaded 2020-08-10 Available
0621 NYTS SSB_final 12 17 2020_clean.docx Supporting Statement B Uploaded 2021-01-14 Repair queued
0621 NYTS SSA_Final 01.13.2021.docx Supporting Statement A Uploaded 2021-01-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7087 State Level Recruitment Script Unchanged
233208 National Youth Tobacco Survey (NYTS) 2020 Questionnaire Form and Instruction ModifiedNational Youth Tobacco Survey (NYTS)
233208 National Youth Tobacco Survey (NYTS) 2020 Questionnaire Form and Instruction Modified
229816 NYTS Cognitive Testing Youth Recruitment Screener Questionnaire Form and Instruction ModifiedNYTS Cognitive Testing Youth Recruitment Screener Questionnaire
229816 NYTS Cognitive Testing Youth Recruitment Screener Questionnaire Form and Instruction Modified
229814 Survey Pretests Other-Future document Unchanged
214643 Cognitive Testing Form and Instruction ModifiedNYTS Cognitive Testing Youth Screener
214643 Cognitive Testing Form and Instruction ModifiedNYTS Cognitive Testing Parent/ Guardian Screener
214643 Cognitive Testing Instruction Modified
185554 Data Collection Checklist Form and Instruction UnchangedData Collection Checklist
185554 Data Collection Checklist Form and Instruction Unchanged
185553 School Level Recruitment Script Form and Instruction UnchangedSchool Level Recruitment Script
185553 School Level Recruitment Script Form and Instruction Unchanged
185552 District Recruitment Script Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2024 01/31/2024 01/31/2024
26,397 0 26,397
18,874 0 18,874
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
Cognitive Testing 0920-0621, 0920-0621 ,  
Data Collection Checklist 0920-0621
District Recruitment Script
NYTS Cognitive Testing Youth Recruitment Screener Questionnaire 0920-0621
National Youth Tobacco Survey (NYTS) 2020 Questionnaire 0920-0621
School Level Recruitment Script 0920-0621
State Level Recruitment Script
Survey Pretests

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 26,397 26,397 0 0 0 0
Annual Time Burden (Hours) 18,874 18,874 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No