Information Collection Request
National Youth Tobacco Surveys 2024 2026
ICR 202312-0920-008 · OMB 0920-0621 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-0621 State Level Recruitment Script |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 National Youth Tobacco Survey Questionnaire |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 NYTS Cognitive Testing Youth Recruitment Screener Questionnaire |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 Survey Pretests |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 Data Collection Checklist |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 School Level Recruitment Script |
Form and Instruction | Modified | Repair queued |
| Form 0920-0621 District Recruitment Script |
Form and Instruction | Modified | Repair queued |
 0621 NYTS Att H5 Parent Permission Form Fact Sheet Passive Spanish.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att H4 Parent Permission Form Fact Sheet Active Spanish.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att H3 Parent Permission Form Fact Sheet Passive English.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att H2 Parent Permission Form Fact Sheet Active English.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS 2024 2026 SSB.docx |
Supporting Statement B | Uploaded 2024-01-19 | Repair queued |
| 0920-0621 NYTS_SSA 18JAN2024.docx |
Supporting Statement A | Uploaded 2024-01-18 | Repair queued |
 NYTS PIA signed.pdf |
Supplementary Document | Uploaded 2024-01-11 | Repair queued |
| 0621 NYTS Att N3 Youth Consent Form.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att N2 Invitation Letter to Youth Screener.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att N1 Parent Consent for Youth Cognitive Testing.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att M 2024 Psychometric Testing Plan.docx |
Supplementary Document | Uploaded 2024-01-19 | Missing upstream |
| 0621 NYTS Att L Detailed Sampling Plan D2.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att K SampleTable Shells.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att J IRB documentation.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att I3 SC Teacher Proctor URL Access Code Email.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att I2 Teacher Proctor Questionnaire Administration Script.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att I1 Teacher Proctor Instructions.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att G6 Logistics Call Script.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att G5 School Coordinator Reminder of Upcoming Session.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att G4 School Coordinator Notification of Selected Classrooms.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att G3 School Coordinator Class Sampling Instructions.docx |
Supplementary Document | Uploaded 2024-01-19 | Missing upstream |
| 0621 NYTS Att G2 School Coordinator Instructions.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att G1 School Coordinator Letter.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att F4 Refusal Conversion Letter.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att F2 School FollowUp Emails.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att F1 School Notification Letter Flyer.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att E1 District_Notification_Letter.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att D1 State Communication Materials.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att C NYTS Publications.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att B State Tobacco Control Rpts of NYTS Data.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
| 0621 NYTS Att A2 Published 60 day FRN.pdf |
Supplementary Document | Uploaded 2024-01-10 | Repair queued |
| 0621 NYTS Att A1 Authorizing Legislation.docx |
Supplementary Document | Uploaded 2024-01-19 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 7087 |  State Level Recruitment Script |
Form and Instruction | Modified | |
| 233208 | National Youth Tobacco Survey Questionnaire |
Form and Instruction | Modified | |
| 229816 | NYTS Cognitive Testing Youth Recruitment Screener Questionnaire |
Form and Instruction | Modified | |
| 229814 | Survey Pretests |
Form and Instruction | Modified | |
| 214643 | Cognitive Testing |
Other-OMB Header and Burden Statement | Modified | |
| 185554 | Data Collection Checklist |
Form and Instruction | Modified | |
| 185553 | School Level Recruitment Script |
Form and Instruction | Modified | |
| 185552 | District Recruitment Script |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0621 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202203-0920-009 |
| Agency Tracking No | 0920-0621 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |