Information Collection

National Youth Tobacco Survey Questionnaire

IC 233208 under ICR 202510-0910-002 · OMB 0910-0932.

Documents and Forms

Document Name Document Type
0932 NYTS Att H1_ NYTS Survey Questionnaire clean 20240520a.docx Other-NYTS Survey Questionnaire
0932 NYTS Att H1_ NYTS Survey Questionnaire clean 20240520a.docx Other-NYTS Survey Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Youth Tobacco Survey Questionnaire	Agency IC Tracking Number:

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
Other-NYTS Survey Questionnaire			0932 NYTS Att H1_ NYTS Survey Questionnaire clean 20240520a.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,704	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,704	595	28,109
Annual IC Time Burden (Hours)	21,528	446	21,082
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.

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