Att M4_Permission Form Tracking Log for the Validation Study

[NCCDPHP] 2025 and 2027 NATIONAL YOUTH RISK BEHAVIOR SURVEY

Documents and Forms

Document Name Document Type
Form 0920-0493 Att M4_Permission Form Tracking Log for the Validation Study Form and Instruction
0920-0493 Permission Form Tracking Log for the Validation Study Att H2_Permission Form Tracking Log for the Validation Study.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Att M4_Permission Form Tracking Log for the Validation Study	Agency IC Tracking Number:	0920-0493

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	0920-0493	Permission Form Tracking Log for the Validation Study	Att H2_Permission Form Tracking Log for the Validation Study.docx	NA	No		Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	4	4
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.