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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
2022/2023 Research and Development Survey (RANDS) and Cognitive Interviews
New
6885
1909
0
Form and Instruction
None
2022/2023 RANDS Survey and Cognitive Interviews
Form and Instruction
None
Respondent Data Collection Sheet
Form and Instruction
None
Screening Scripts
CCQDER - Cognitive Testing Questions for the 2022 NAMCS
New
40
29
0
Form
0920-0222
Telephone Screening Script – Respondent recruited from newspaper advertisement/flyer
Form
0920-0222
Adult Informed Consent Form for
Form
0920-0222
Respondent Data Collection Sheet
Form
0920-0222
Respondent Debriefing Interview (virtual interviews)
Form and Instruction
1a
Questionnaire
Form and Instruction
1b
Questionnaire
CCQDER's GEMS
New
400
117
0
Form and Instruction
0920-0222
Screener Script
Form and Instruction
0920-0222
Questions to be Tested
Form and Instruction
0920-0222
Respondent Data Collection Sheet
Gender X Marker
New
150
129
1074
Other-Draft Modified Form with Questions to be Tested
Form and Instruction
n/a
Screening Questions for Potential Respondents
Form and Instruction
n/a
Informed Consent
Form and Instruction
n/a
Respondent Data Collection Sheet
NHIS 2023 Indicators Cognitive Interview Evaluation Study
New
192
50
0
Form and Instruction
0920-0222
Cognitive Testing Questions
Form and Instruction
0920-0222
Screening Form
Form and Instruction
0920-0222
Respondent Data Collection Sheet
Other-Header and Burden Statement
NISVS Validity Study, Round 2
New
125
37
0
Form and Instruction
0920-0222
Questions to be Tested
Form and Instruction
0920-0222
Screener
Form and Instruction
0920-0222
Respondent Data Collection Sheet
PRAMS Phase 9 (Subset) Questionnaire
New
100
63
0
Form
0920-0222
Sample screening script for respondent contact by CCQDER Recruiter/Staff for Cognitive Evaluation of PRAMS 9 Questions
Form
0920-0222
Questions to be Cognitively Tested (English Version)
Form
0920-0222
Respondent Data Collection Sheet
Form
0920-0222
Sample Script for Respondent Follow-up Discussion with CCQDER Recruiter/Staff for Cognitive Evaluation and Analysis of PRAMS Phase 9 Questions
Validity Study of IDD Questions_ IDD Round 2
New
150
103
0
Form and Instruction
0920-22BF
Att 5a-5c Respondent Data Collection Sheet
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
8042
2437
1074
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
To view an IC, click on IC Title