View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Recruitement of Schools documents (2009 & 2011 YRBS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-WORD			Appendix G3 - School-level Recruitment Script for the YRBS.doc		No	No	Fillable Printable

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: 133	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	133	0	133	0	0	0
Annual IC Time Burden (Hours)	67	0	67	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix H3 - School-level Recruitment Script for the YRBS - supplemental docs	Appendix H3 - School-level Recruitment Script for the YRBS - supplemental docs.doc	05/06/2008

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