View Information Collection (IC)

View Information Collection (IC)

PRAMS Phase 9 (Subset) Questionnaire 0920-0222-22DR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0222 Sample screening script for respondent contact by CCQDER Recruiter/Staff for Cognitive Evaluation of PRAMS 9 Questions Attachment 3a-b - Screening script for PRAMS Phase 9_v2- CLEAN.docx No   Paper Only
Form 0920-0222 Questions to be Cognitively Tested (English Version) Attachment 1a-b - Questions to be cognitively tested for PRAMS Phase 9_v1.docx Yes Yes Fillable Fileable
Form 0920-0222 Respondent Data Collection Sheet Attachment 5a-b - Respondent Data Collection Sheet for PRAMS Phase 9_v1.docx No   Fillable Fileable
Form 0920-0222 Sample Script for Respondent Follow-up Discussion with CCQDER Recruiter/Staff for Cognitive Evaluation and Analysis of PRAMS Phase 9 Questions Attachment 7 - Respondnet follow-up for PRAMS Phase 9.docx No   Paper Only

Health Public Health Monitoring

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

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 63 0 63 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRAMS Phase 9 _10-day Letter PRAMS Phase 9_10-day letter 3_17_2022.docx 03/22/2022
Advertisdement for PRAMS Phase 9 Attachment 2 - Advertisement for PRAMS Phase 9_v1.docx 03/22/2022
Informed Consent Attachment 4a-b - Informed Consent for PRAMS Phase 9_v1 SK.docx 03/22/2022
Thank You Letter Attachment 6 - Thank you letter for PRAMS Phase 9.docx 03/22/2022
Data Retention Policy Attachment 8 - Data Retention Policy for PRAMS Phase 9.docx 03/22/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.