View Information Collection (IC)

View Information Collection (IC)

Cognitve Testing of Food for Babies and Mothers' Health Question on the NHANES B24 Month Questionnaire 0920-0222 18GQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attach 1a - Qnne (Eng) 112417.doc No   Fillable Fileable
Other-WORD Attach 1b - Qnne (Span) 112417.doc No   Fillable Fileable
Other-WoRD Attach 4a - Telephone Screener (Eng).docx No   Fillable Fileable
Other-WORD Attach 4b - Telephone Screener (Span) updated trans.docx No   Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population  49 FR 37693

185 0
   
Individuals or Households
 
   0 %

  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 185 0 185 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 2a-d. English - Semi Targeted Advertisement Attach 2a-d - Ads&Flyers (Eng & Span).docx 11/28/2017
Att 3. Sample Script of CCQDER Voice Mail Attach 3 - Voice Mail Script (Eng only).docx 11/28/2017
Att 5a-b. Informed Consent (English/Spanish) Attach 5ab - Informed Consent (Eng & Span).docx 11/28/2017
Att 6a-b. Resp Data Collect Attach 6ab - Resp Data Collect (Eng & Span).docx 11/28/2017
Att 7a-b. Thank You Letter (English & Spanish) Attach 7ab - Thank You Letter (Eng & Span).docx 11/28/2017
Att 8 a-b. Special Consent (English and Spanish) Attach 8ab - Special Consent (Eng & Span).docx 11/28/2017
10 day Letter NHANES B24 10-day letter NHANES B24 112417.docx 11/28/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.