OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Study to Examine Web-based Administration of the Youth Risk Behavior Survey

ICR 200711-0920-001 · OMB 0920-0763 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
07AM_YRBS_SS_091407_PART B.doc Supporting Statement B Uploaded 2007-10-03 Available
HHSmemo.doc Supplementary Document Uploaded 2007-10-17 Available
Appendix N - Principal Data Collection Detailed Sampling and Weighting Plan.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix M - 2008 Methodological Study Table Shells.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix L - 2008 Methodological Study IRB Approval Letter.rtf Supplementary Document Uploaded 2007-10-03 Repair queued
Appendix C - 60-day FRN Comment.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix B - 60-Day Federal Register Announcement.pdf Supplementary Document Uploaded 2007-10-03 Available
Appendix A - Authorizing Legislation.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix K - Data Collection Checklist for the Student Health Survey Supplemental Documents.doc Supplementary Document Uploaded 2007-10-03 Repair queued
Appendix I - School Recruitment Script for the Student Health Survey Supplemental Documents.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix G - Data Collection Instrument for Students Supplemental Documents.doc Supplementary Document Uploaded 2007-10-03 Repair queued
Appendix E2 - Student Health Survey with Skip Patterns.doc Supplementary Document Uploaded 2007-10-03 Available
Appendix F - Data Collection Instrument for Principals Supplemental Documents.doc Supplementary Document Uploaded 2007-10-02 Available
07AM_YRBS_SS_091407_PART A.doc Supporting Statement A Uploaded 2007-10-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
182578 Teachers Data Collection Checklist Other-Data Collection Checklist New
182577 School Recruitment for the Student Health Survey Instruction New
182576 Student Health Survey Other-Student Health Survey New
182575 Principle Survey of Feasibility and Acceptability of Web-based Student Assessments and Surveys Other-Principle Survey of the Feasibility and Acceptability of W New
ICR Details
0920-0763 200711-0920-001
Historical Active
HHS/CDC
Study to Examine Web-based Administration of the Youth Risk Behavior Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/25/2008
Retrieve Notice of Action (NOA) 11/01/2007
Approved consistent with HHS response to OMB comments and removal of proposed incentives.
  Inventory as of this Action Requested Previously Approved
01/31/2009 12 Months From Approved
7,000 0 0
4,813 0 0
0 0 0
The purpose of this request is to obtain OMB clearance to conduct a methodological study to assess the feasibility of adopting a Web-based version of the national Youth Risk Behavior Survey(YRBS)OMB Number 0920-0493. The planned data collection includes two questionnaires. The first will be administered to a national probability sample of high school principals to assess their perceptions of the feasibility and desirability of student Web-based data collection in their schools. The second will be administered to students to assess the feasibility of transitioning the mode of school-based data collection for the national YRBS from a paper-and-pencil questionnaire to a Web-based questionnaire. Feasibility will be assessed by determining whether prevalence estimates are comparable across study conditions without incurring a significant decrease in participation rates and questionnaire completeness in the Web-based mode. The data collection is time-sensitive, program needs to start data collection in January 2008 in order to complete the analysis and incorporate results into the next regular YRBS cycle.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  72 FR 9949 03/06/2007
72 FR 194 10/09/2007
Yes
  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 7,000 0 0 7,000 0 0
Annual Time Burden (Hours) 4,813 0 0 4,813 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$902,057
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Thelma Sims 4046394771
  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.
11/01/2007