OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

National Youth Risk Behavior Survey Test-Retest Reliability Study

ICR 202012-0920-007 · OMB 0920-1334 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920- Permission Form Checklist Form New Repair queued
Form 0920- School Recruitment Script Form and Instruction New Repair queued
Form 0920- District Recruitment Script Form and Instruction New Repair queued
Form 0920- YRBS Questionnaire Form and Instruction New Available
Att O PIA_YRBS Test_Retest.pdf Supplementary Document Uploaded 2020-12-11 Repair queued
Att L-Fact Sheet.docx Supplementary Document Uploaded 2020-12-11 Missing upstream
Att K-Passive Parent Consent Form.docx Supplementary Document Uploaded 2020-12-11 Repair queued
Att J-Active Parent Consent Form.docx Supplementary Document Uploaded 2020-12-11 Repair queued
Att I-IRB Approval Letter.pdf Supplementary Document Uploaded 2020-12-11 Repair queued
Att F-Adv. Principal Letter.docx Supplementary Document Uploaded 2020-12-11 Repair queued
Att D-Adv. Superintendent Letter.docx Supplementary Document Uploaded 2020-12-11 Repair queued
SSB.docx Supporting Statement B Uploaded 2020-12-11 Repair queued
SSA.docx Supporting Statement A Uploaded 2020-12-11 Missing upstream
Att A-Authorizing Legislation.docx Supplementary Document Uploaded 2020-12-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
244895 Permission Form Checklist Form New
244894 School Recruitment Script Form and Instruction New
244893 District Recruitment Script Form and Instruction New
244892 YRBS Questionnaire Form and Instruction New
ICR Details
202012-0920-007
Received in OIRA
HHS/CDC 0920-20OJ
National Youth Risk Behavior Survey Test-Retest Reliability Study
New collection (Request for a new OMB Control Number)   No
Regular 12/23/2020
  Requested Previously Approved
36 Months From Approved
2,120 0
1,540 0
0 0
The goal of the National Youth Risk Behavior Survey Test-Retest Reliability Study is to test the reliability of the data collected through the national Youth Risk Behavior Survey questionnaire.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  85 FR 33673 06/02/2020
85 FR 83090 12/21/2020
No
  Total Request 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 2,120 0 0 2,120 0 0
Annual Time Burden (Hours) 1,540 0 0 1,540 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New collection (Request for a new OMB Control Number)
$79,296
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
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.
12/23/2020