View Information Collection (IC)

View Information Collection (IC)

2022/2023 Research and Development Survey (RANDS) and Cognitive Interviews 0920-0222-22IB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None 2022/2023 RANDS Survey and Cognitive Interviews Attachment 1 - Cognitive Interview and RANDS 2022&2023 Questionnaire-8.11.22.docx Yes Yes Fillable Fileable
Form and Instruction None Respondent Data Collection Sheet Attachment 2- Respondent Data Collection Sheet_07 08 2022.docx Yes Yes Fillable Fileable
Form and Instruction None Screening Scripts Attachment 4a&b - Screening script_08112022.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

6,885 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,885 0 6,885 0 0 0
Annual IC Time Burden (Hours) 1,909 0 1,909 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Study Advertisement for Recruitment Purposes Attachment 3- Non-Specific Advertisement_07 08 2022.docx 08/11/2022
Informed Consent Attachment 5 - Informed Consent_08 11 2022.docx 08/11/2022
Thank-you Letter Attachment 6- Thank you letter_07 08 2022.docx 08/11/2022
Data Retention Policy Attachment 7-Data Retention Policy_07 08 2022.docx 08/11/2022
NORC CIPESA Protection Plan Attachment 8 - NORC CIPESA Protection Plan_07 29 2022.docx 08/11/2022
NCHS Non-disclosure Affadavit for NORC Staff Attachment 9 - NCHS Non-Disclosure Affidavit for NORC_08_11022.docx 08/11/2022
Justification to OMB for RANDS5 testing OMB 10-day Letter_RANDS_20222023_08-30-2022 clean.docx 09/07/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.