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Information Collection Request

2004 Methodological Study of the Youth Risk Behavior Survey (YRBS)

ICR 200309-0920-007 · OMB 0920-0611 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7076 2004 Methodological Study of the Youth Risk Behavior Survey (YRBS) Migrated
ICR Details
0920-0611 200309-0920-007
Historical Active
HHS/CDC
2004 Methodological Study of the Youth Risk Behavior Survey (YRBS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/18/2003
Retrieve Notice of Action (NOA) 09/30/2003
  Inventory as of this Action Requested Previously Approved
12/31/2004 12/31/2004
5,480 0 0
4,110 0 0
0 0 0
To provide methodological guidance for future surveys, especially surveys of adolescents, purposively selected samples of students in grades 9 and 11 will be surveyed in two settings (school and home) using two modes of administration (paper and pencil and laptop computers). Elucidation of the impact of these factors on prevalence of health-risk behaviors will assist in reducing response effects and improve the quality of data collected on health risk behaviors among adolescents.
None
None
No
1
IC Title Form No. Form Name
2004 Methodological Study of the Youth Risk Behavior Survey (YRBS)
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,480 0 0 5,480 0 0
Annual Time Burden (Hours) 4,110 0 0 4,110 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/30/2003