Information Collection

District Recruitment Script

IC 185552 under ICR 202203-0920-009 · OMB 0920-0621.

⚠️ Notice: This information collection may be referencing outdated material.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
F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx Instruction
F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	District Recruitment Script	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Instruction			F1_District-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: 304	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	304	304
Annual IC Time Burden (Hours)	152	152
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.