View Information Collection (IC)

View Information Collection (IC)

IC Title:	National Youth Tobacco Survey (NYTS) 2020 Questionnaire	Agency IC Tracking Number:	0920-0621-21ET

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	National Youth Tobacco Survey (2020 version)	0621 NYTS Att H1_ 2021 NYTS Questionnaire FINAL.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0621	National Youth Tobacco Survey (NYTS) 2022	0621 NYTS Att H1_ 2022 NYTS Questionnaire_4.28.2021_clean.docx		Yes	Yes	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: 24,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	24,000	0	0	0	0	24,000
Annual IC Time Burden (Hours)	18,000	0	0	0	0	18,000
Annual IC Cost Burden (Dollars)	0	0	0	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.