View Information Collection (IC)

View Information Collection (IC)

Cognitive Interview Study: Spanish-language Telephone-administered Questions for PRAMS (2019) 0920-19BGZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Telephone Screening Script (in Spansih) 0920 0222 Attach 3 Screener Span PRAMS 2019.docx No   Paper Only
Form and Instruction n/a PRAMS 2019 questions to be cognitively tested (Phone/Spanish version) 0920 0222 Attach 1 Qnne Span PRAMS 2019.docx No   Paper Only
Form and Instruction n/a Respondent Data Sheet (in Spanish) 0920 0222 Attach 5 Resp Data Collect Span PRAMS 2019.docx No   Paper Only

Health Public Health Monitoring

 

80 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Project Description and Justification 0920-0222 Span PRAMS 2019 10-Day Ltr 6.13.19.docx 06/13/2019
Recruitment Advertisements (in Spanish) 0920 0222 Attach 2abc Ad&flyer Span PRAMS 2019.docx 06/13/2019
Consent Form (in Spanish) 0920 0222 Attach 4 Consent Span PRAMS 2019.docx 06/13/2019
Thank You Letter (in Spanish) 0920 0222 Attach 6 Thank You Span PRAMS 2019.docx 06/13/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.