View Information Collection (IC)
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View Information Collection (IC)

Cognitive Testing of Occupational Safety and Health Questions for the Youth Risk Behavior Surveillance System (YRBSS) [with incentive level test] 0920-21FZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Other-Virtual Interview Setup Support [see Sections III and IV] Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164, Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

150 0
   
Individuals or Households
 
   100 %

  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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Procedures for Cognitive Testing of Occupational Health and Safety Questions for YRBSS 06/23/2021
Recruitment Materials 06/23/2021
Informed Consent Materials - Youth Assent and Parent/Guardian Permission 06/23/2021
Thank You Letter 06/23/2021
Guidance to Interviewers: Identifying, Managing, and Reporting Respondent Distress 06/23/2021
10 day letter 07/31/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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