National Youth Tobacco Surveys (NYTS) 2020

Forms and Documents

Document Name	Status
National Youth Tobacco Survey (NYTS) 2020 Questionnaire Form and Instruction	Modified
Form 0920-0621 P7. Cognitive Testing Participant SCREENER Form and Instruction	Unchanged
Form 0920-0621 H1. NYTS 2018 Questionnaire (Pre-test) Form	Unchanged
Form 0920-0621 P1. Youth Cognitive Interview GUIDE Form and Instruction	Unchanged
Form 0920-0621 H1. DATA COLLECTION CHECKLIST -- NYTS - ACTIVE Form and Instruction	Unchanged
Form 0920-0621 G1. GUIDELINES FOR SCHOOL CONTACTS Form and Instruction	Unchanged
Attachment_I-2_NonSub_Change_Crosswalk_2019_to_2020_NYTS_(OMB_0920-0621)_2.docx Supplementary Document	2019-04-30
Memo_Non-Substantive_Change_Request_2020_NYTS_(OMB_0920-0621)_final.docx Supplementary Document	2019-04-30
Attachment_I-2_crosswalk_NYTS_2018-2019_NS_Change_Request.docx Supplementary Document	2018-09-26
NS_Change_Request_ Memo_2019_NYTS.docx Justification for No Material/Nonsubstantive Change	2018-09-26
O_OMB No. 0920-0621_NYTS_External_Peer_Review_Recommendations.docx Supplementary Document	2018-04-25
N_CDC_Cognitive Testing Results (Sept2017).docx Supplementary Document	2018-04-25
M_Nonresponse Analysis_2017NYTS.docx Supplementary Document	2018-04-25
L_NYTS 2017_Sampling and Weighting Plan.docx Supplementary Document	2018-04-25
K_SampleTable Shells.docx Supplementary Document	2018-04-25
J_ IRB Approval.pdf Supplementary Document	2018-01-25
D_Publications from Prior Cycles of the National Youth Tobacco Survey.docx Supplementary Document	2018-04-25
C_State Tobacco Control Reports that Cite National Youth Tobacco Survey Data (002).docx Supplementary Document	2018-04-25
B2_Public comments and CDC responses to the NYTS 60-day FRN.docx Supplementary Document	2018-04-25
Attachment B1. _60 day FRN.pdf Supplementary Document	2018-01-25
Attachment A_Authorizing Legislation.doc Supplementary Document	2014-12-15
NYTS 2018-2020 SupSta Part B OMB_April 24 2018.docx Supporting Statement B	2018-04-25
NYTS 2018-2020 SupSta Part A OMB (22 Mar 2018)_OMB April 24 2018.docx Supporting Statement A	2018-04-25

IC Document Collections

IC ID	Document Title	Status
7087	E1. GUIDELINES FOR STATE EDUCATION AGENCY CONTACTS Instruction	Unchanged
233208	National Youth Tobacco Survey (NYTS) 2020 Questionnaire Form and Instruction	Modified
229816	P7. Cognitive Testing Participant SCREENER Form and Instruction	Unchanged
229814	H1. NYTS 2018 Questionnaire (Pre-test) Form	Unchanged
214643	P1. Youth Cognitive Interview GUIDE Form and Instruction	Unchanged
185554	H1. DATA COLLECTION CHECKLIST -- NYTS - ACTIVE Form and Instruction	Unchanged
185553	G1. GUIDELINES FOR SCHOOL CONTACTS Form and Instruction	Unchanged
185552	F1. GUIDELINES FOR SCHOOL DISTRICT CONTACTS Instruction	Unchanged

ICR Details

OMB Control No: 0920-0621	ICR Reference No: 201904-0920-010
Status: Historical Active	Previous ICR Reference No: 201809-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0621
Title: National Youth Tobacco Surveys (NYTS) 2020
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/2019
	Date Received in OIRA: 04/30/2019
Terms of Clearance: Previous terms of clearance still apply.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	04/30/2021	04/30/2021
Responses	25,784	0	25,784
Time Burden (Hours)	18,560	0	18,560
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC requests OMB approval to modify NYTS questionnaire content for 2020. Changes from the 2019 version of the NYTS questionnaire are summarized in a crosswalk. This request builds on the previous approval for three years to continue annual information collection for the National Youth Tobacco Survey (NYTS). Background: The NYTS was previously conducted by CDC in 2004, 2006, 2009, and on an annual basis for years 2011-2018. The NYTS employs a repeat cross-sectional design to develop national estimates of tobacco use behaviors and exposure to pro- and anti-tobacco influences among students enrolled in grades 6-12. This is a non-substantive change request to modify questions and to use the digital-based survey design.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 47740	10/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 3149	01/23/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
E1. GUIDELINES FOR STATE EDUCATION AGENCY CONTACTS
F1. GUIDELINES FOR SCHOOL DISTRICT CONTACTS
G1. GUIDELINES FOR SCHOOL CONTACTS	0920-0621	GUIDELINES FOR SCHOOL CONTACTS {Year} NATIONAL YOUTH TOBACCO SURVEY
H1. DATA COLLECTION CHECKLIST -- NYTS - ACTIVE	0920-0621	DATA COLLECTION CHECKLIST -- NYTS - ACTIVE
P1. Youth Cognitive Interview GUIDE	0920-0621	Yout Cognitive Interview Guide
H1. NYTS 2018 Questionnaire (Pre-test)	0920-0621	National Youth Tobacco Survey (NYST) 2018 Questionnaire
P7. Cognitive Testing Participant SCREENER	0920-0621	Cognitive Testing Participant Screener
National Youth Tobacco Survey (NYTS) 2020 Questionnaire	N/A	National Youth Tobacco Survey (2020 version)

---

ICR Summary of Burden

	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	25,784	25,784	0	0	0	0
Annual Time Burden (Hours)	18,560	18,560	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $2,857,896

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/30/2019

---