National Youth Tobacco Survey Questionnaire

National Youth Tobacco Surveys 2024 2026

Documents and Forms

Document Name Document Type
Form 0920-0621 National Youth Tobacco Survey Questionnaire Form and Instruction
0920-0621 NYTS Survey Questionnaire 0621 NYTS Att H1 NYTS Survey Questionnaire.docx Form and Instruction
0920-0621 NYTS Survey Questionnaire 0621_NYTS_Att_H1_ NYTS Survey Questionnaire clean 20240520a.docx Form and Instruction

Information Collection (IC) Details

IC Title:	National Youth Tobacco Survey Questionnaire	Agency IC Tracking Number:	0920-0621

Is this a Common Form? No		IC Status: Modified

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	0920-0621	NYTS Survey Questionnaire	0621_NYTS_Att_H1_ NYTS Survey Questionnaire clean 20240520a.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,109	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28,109	4,109	24,000
Annual IC Time Burden (Hours)	21,082	3,082	18,000
Annual IC Cost Burden (Dollars)	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.