Information Collection

2013 and 2015 Youth Risk Behavior Survey

IC 6930 under ICR 201207-0920-009 · OMB 0920-0493.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0493 can be found here:

Documents and Forms

Document Name Document Type
Appx E - Youth Risk Behavior Survey Questionnaire.docx Other-WORD
Appx D - Rationale for Survey Questions.docx Appx D - Rationale for Survey Questions IC Document
Appx F - YRBS Questionnaire - supplemental documents.doc Appx F - YRBS Questionnaire - supplemental documents IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2013 and 2015 Youth Risk Behavior Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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			Appx E - Youth Risk Behavior Survey Questionnaire.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,129	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,129	10,129
Annual IC Time Burden (Hours)	7,597	7,597
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appx D - Rationale for Survey Questions	Appx D - Rationale for Survey Questions.docx	07/16/2012
Appx F - YRBS Questionnaire - supplemental documents	Appx F - YRBS Questionnaire - supplemental documents.doc	07/16/2012

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