Att H1_Data Collection Checklist

2017 NATIONAL YOUTH TOBACCO SURVEY Computer Based Pilot Survey

OMB: 0920-1205

IC ID: 225827

Information Collection (IC) Details

View Information Collection (IC)

Att H1_Data Collection Checklist 16AWN
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att H1_Data Collection Checklist for the NYTS Pilot (Revised 1.12.2017) v2 (OSH).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

292 0
   
Individuals or Households
 
   95 %

  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 292 0 292 0 0 0
Annual IC Time Burden (Hours) 73 0 73 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att H2_Letters to Teachers Att H2_Letter to Teachers in Participating Schools.docx 03/01/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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