View Information Collection (IC)

View Information Collection (IC)

Validity Study of IDD Questions_ IDD Round 2 0920-22BF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22BF Att 5a-5c Respondent Data Collection Sheet Att 5a-5c Respondent Data Collection Sheet 8_11_21 CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

150 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 103 0 103 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 2a-2c Advertisements 8_11_21 CLEAN Att 2a-2c Advertisements 8_11_21 CLEAN.docx 12/07/2021
IDD Round 2 10-day letter IDD Round 2 10-day letter_112921.docx 12/07/2021
Att 3 Telephone Screening Script 110421 CLEAN Att 3 Telephone Screening Script 110421 CLEAN.docx 12/07/2021
Att 4a-4h Informed Consent 8_11_21 CLEAN Att 4a-4h Informed Consent 8_11_21 CLEAN.docx 12/07/2021
Att 6 Thank you note 8_11_21 CLEAN Att 6 Thank you note 8_11_21 CLEAN.docx 12/07/2021
Att 7 Follow-up Discussion 8_11_21 CLEAN Att 7 Follow-up Discussion 8_11_21 CLEAN.docx 12/07/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.