View Information Collection (IC)

View Information Collection (IC)

IC Title:	G1. GUIDELINES FOR SCHOOL CONTACTS	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
Form and Instruction	0920-0621	GUIDELINES FOR SCHOOL CONTACTS {Year} NATIONAL YOUTH TOBACCO SURVEY	G1_School-level Recruitment Script for the National Youth Tobacco Survey.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	240	0	20	0	0	220
Annual IC Time Burden (Hours)	120	0	10	0	0	110
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
G2. School Invitation Letter	G2_School Invitation Letter template.docx	04/25/2018
G3.Letter to Agreeing School	G3_Letter to Agreeing School.docx	04/25/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.