National Youth Tobacco Surveys 2024 2026

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0621 State Level Recruitment Script	Form and Instruction	Modified	Available
Form 0920-0621 NYTS Survey Questionnaire	Form and Instruction	Modified	Available
Form 0920-0621 Cognitive Testing Yourh Recruitment Screener	Form and Instruction	Modified	Available
Form 0920-0621 Cognitive Interview Item Form	Form and Instruction	Modified	Repair queued
Class Participation Form	Form	Modified	Available
Form 0920-0621 School Level Recruitment Script	Form and Instruction	Modified	Available
Form 0920-0621 District Recruitment Script	Form and Instruction	Modified	Available
0621 NYTS Att H5 Parent Permission Form Fact Sheet Passive Spanish.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att H4 Parent Permission Form Fact Sheet Active Spanish.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att H3 Parent Permission Form Fact Sheet Passive English.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att H2 Parent Permission Form Fact Sheet Active English.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS 2024 2026 SSB.docx	Supporting Statement B	Uploaded 2024-01-19	Available
0920-0621 NYTS_SSA 20MAY2024a clean.docx	Supporting Statement A	Uploaded 2024-05-21	Repair queued
NYTS PIA signed.pdf	Supplementary Document	Uploaded 2024-01-11	Available
0621 NYTS Att N3 Youth Consent Form.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att N2 Invitation Letter to Youth Screener.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att N1 Parent Consent for Youth Cognitive Testing.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att M 2024 Psychometric Testing Plan.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att L Detailed Sampling Plan D2.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att K SampleTable Shells.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att J IRB documentation.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att I3 SC Teacher Proctor URL Access Code Email.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att I2 Teacher Proctor Questionnaire Administration Script.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att I1 Teacher Proctor Instructions.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G6 Logistics Call Script.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G5 School Coordinator Reminder of Upcoming Session.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G4 School Coordinator Notification of Selected Classrooms.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G3 School Coordinator Class Sampling Instructions.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G2 School Coordinator Instructions.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att G1 School Coordinator Letter.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att F4 Refusal Conversion Letter.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att F2 School FollowUp Emails.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att F1 School Notification Letter Flyer.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att E1 District_Notification_Letter.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att D1 State Communication Materials.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att C NYTS Publications.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att B State Tobacco Control Rpts of NYTS Data.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att A2 Published 60 day FRN.pdf	Supplementary Document	Uploaded 2024-01-10	Available
0621 NYTS Att A1 Authorizing Legislation.docx	Supplementary Document	Uploaded 2024-01-19	Available
0621 NYTS Att A3 FRN Comments Responses.docx	Public Comments	Uploaded 2023-06-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7087	State Level Recruitment Script	Form and Instruction	Modified	State Level Recruitment Script
233208	National Youth Tobacco Survey Questionnaire	Form and Instruction	Modified	NYTS Survey Questionnaire
229816	NYTS Cognitive Testing Youth Recruitment Screener Questionnaire	Form and Instruction	Modified	Cognitive Testing Yourh Recruitment Screener
229814	Survey Pretests	Form and Instruction	Modified	Cognitive Interview Item Form
214643	Cognitive Testing	Other-OMB Header and Burden Statement	Modified
185554	Data Collection Checklist	Form	Modified	Class Participation Form
185553	School Level Recruitment Script	Form and Instruction	Modified	School Level Recruitment Script
185552	District Recruitment Script	Form and Instruction	Modified	District Recruitment Script

ICR Details

OMB Control No: 0910-0932	ICR Reference No: 202506-0910-008
Status: Historical Active	Previous ICR Reference No: 202203-0920-009
Agency/Subagency: HHS/FDA	Agency Tracking No: 0920-0621
Title: National Youth Tobacco Surveys 2024 2026
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/27/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/27/2025
Terms of Clearance: Previous terms (modified) continue: The YTS should consult with the National Center for Health Statistics on parallel testing methods. Before proposed new questions are submitted to OMB for review, the YTS program will conduct robust cognitive testing on a large enough group of individuals to reflect the spectrum of likely respondents, with the goal that the CDC, the State sponsors, and the public understand how the respondents interpreted the question and response options. Approval is provided consistent with CDC's agreement to cognitively test a sex at birth question this year to obtain data on how this question performs among youth.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved
Responses	30,836	0	26,397
Time Burden (Hours)	22,086	0	18,874
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of the National Youth Tobacco Survey (NYTS) is to collect tobacco use behavioral data among 6th through 12th grade students in 2024, 2025, and 2026. The purpose of the survey is to assess use of tobacco products and the associated correlates. For this revision, the content of the 2024 instrument remains largely consistent with the past NYTS surveys. The overall burden is somewhat higher than the previous cycle due to the increased sample size allowing for more precision of race estimates.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 36585	06/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 2612	01/16/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Cognitive Testing
Data Collection Checklist	0920-0621, n/a	Class Participation Form
District Recruitment Script	0920-0621	District Recruitment Script
NYTS Cognitive Testing Youth Recruitment Screener Questionnaire	0920-0621	Cognitive Testing Yourh Recruitment Screener
National Youth Tobacco Survey Questionnaire	0920-0621	NYTS Survey Questionnaire
School Level Recruitment Script	0920-0621	School Level Recruitment Script
State Level Recruitment Script	0920-0621	State Level Recruitment Script
Survey Pretests	0920-0621	Cognitive Interview Item Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	30,836	26,397	0	4,439	0	0
Annual Time Burden (Hours)	22,086	18,874	0	3,212	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overall burden is somewhat higher than the previous cycle due to the increased sample size allowing for more precision of race estimates.

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Annual Cost to Federal Government: $2,970,280

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/18/2024

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