Information Collection

National Youth Tobacco Survey (NYTS) 2020 Questionnaire

IC 233208 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0621 National Youth Tobacco Survey (NYTS) 2020 Questionnaire	Form and Instruction
0920-0621 National Youth Tobacco Survey (NYTS) Attachment Q1_2023 NYTS Questionnaire_(2022.03.21).tfs4_AG.docx	Form and Instruction
0920-0621 National Youth Tobacco Survey (NYTS) Attachment Q1_2023 NYTS Questionnaire_(2022.03.21).tfs4_AG.docx	Form and Instruction
Attachment Q2_Crosswalk_NYTS_2022-2023_(2022.03.21).docx Crosswalk of non-substantive changes to 2022 NYTS	IC Document
Attachment Q2_Crosswalk_NYTS_2022-2023_(2022.03.21).docx Crosswalk of non-substantive changes to 2022 NYTS	IC Document

IC Title:

National Youth Tobacco Survey (NYTS) 2020 Questionnaire

Agency IC Tracking Number:

0920-0621-22DZ

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0621	National Youth Tobacco Survey (NYTS)	Attachment Q1_2023 NYTS Questionnaire_(2022.03.21).tfs4_AG.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Crosswalk of non-substantive changes to 2022 NYTS	Attachment Q2_Crosswalk_NYTS_2022-2023_(2022.03.21).docx	04/05/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.