View Information Collection (IC)

View Information Collection (IC)

Adult Questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Adult Questionniare Adult Questionniare Adult Questionniare Cohort N.docx Yes Yes Paper Only
Instruction Adult Admin Guide Cohort N.docx Yes No Paper Only

Health Public Health Monitoring

 

9,682 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 16,899 0 -3,306 0 0 20,205
Annual IC Time Burden (Hours) 12,234 0 -4,536 0 0 16,770
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Overview of Instruments Guide Overview of Instruments Guide.docx 09/29/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.