OMB
.report
Search
Adolescent Behaviors and Experiences Survey
2021 and 2023 National Youth Risk Behavior Surveys and 2021 ABES
OMB: 0920-0493
IC ID: 244325
OMB.report
HHS/CDC
OMB 0920-0493
ICR 202206-0920-016
IC 244325
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0493 can be found here:
2024-08-13 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0493
Adolescent Behaviors and Experiences Survey
Form and Instruction
0920-0493 ABES Questionnaire
Att K2_ABES Questionnaire.docx
Form and Instruction
0920-0493 ABES Questionnaire
Att K2_ABES Questionnaire.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adolescent Behaviors and Experiences Survey
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
Form and Instruction
0920-0493
ABES Questionnaire
Att K2_ABES Questionnaire.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,460
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
15,460
0
0
0
0
15,460
Annual IC Time Burden (Hours)
11,595
0
0
0
0
11,595
Annual IC Cost Burden (Dollars)
0
0
0
0
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.