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  
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