Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AIS Questionnaire New 380 51 434 Form and Instruction 0920-1254 AIS Questionnaire - Data Collection Instruments (combined English/Spanish)
AIS Text Message New 52000 433 3681 Form and Instruction 0920-1254 AIS Text Message - Data Collection Instruments (combined English/Spanish)
COVID-19 Case Follow-Up Questionnaire New 75 8 68 Form and Instruction 0920-1254 COVID-19 Case Follow-Up Questionnaire
Household Representative Questionnaire Modified 2700 450 3825 Form and Instruction 0920-18ANU Household Representative Questionnaire
Form and Instruction 0920-1254 Household Representative Questionnaire - Data Collection Instruments (combined English/Spanish)
Individual Questionnaire Modified 3800 1267 10770 Form and Instruction 0920-18ANU Individual Questionnaire
Form and Instruction 0920-18ANU Individual Questionnaire Spanish
Form and Instruction 0920-1254 Individual Questionnaire - Data Collection Instruments (combined English/Spanish)
Knowledge, Attitudes, and Practices Individual Questionnaire Modified 3090 773 6571 Form and Instruction 0920-18ANU KAP Adult
Form and Instruction 0920-18ANU KAP Older Child
Form and Instruction 0920-18ANU KAP Younger Child
Form and Instruction 0920-18ANU Spanish KAP Adult
Form and Instruction 0920-18ANU Spanish KAP Older Child
Form and Instruction 0920-18ANU Spanish KAP Younger Child
Form and Instruction 0920-18ANU Year Two Combined Questionnaire
Form and Instruction 0920-1254 Knowledge, Attitudes and Practices (KAP) Questionnaire - Data Collection Instruments (combined English/Spanish)
Mobility Questionnaire New 3800 633 5381 Form and Instruction 0920-1254 Mobility Questionnaire - Data Collection Instruments (combined English/Spanish)
Specimen Collection Modified 3800 317 2695 Form and Instruction 0920-18ANU Specimen Lab Form
Form and Instruction 0920-1254 Specimen Collection - Data Collection Instruments (combined English/Spanish)
Vector Control Intervention Questionnaire Modified 2500 417 3545 Form and Instruction 0920-18ANU Vector Control Questionnaire
Form and Instruction 0920-18ANU Spanish Vector Control Questionnaire
Form and Instruction 0920-1254 Vector Control Questionnaire - Data Collection Instruments (combined English/Spanish)
Total burden requested under this ICR: 72145 4349 36970  
To view an IC, click on IC Title