PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CCQDER - Questions on Subjective Cognitive Decline
Unchanged
120
35
0
Form and Instruction
0920-0222
Cognitive Decline - Screening Script
Form and Instruction
0920-0222
Questions to be Cognitively Tested
Form and Instruction
0920-0222
Respondent Data Collection Sheet
GenIC for CCQDER's RANDS 9
Unchanged
49800
12450
0
Form and Instruction
1
qustionnaire
[HCHS] Cognitive Evaluation of Questions on Overdose and Substance Use Disorder and RANDS 12
New
11775
3923
0
Form and Instruction
n/a
Screening Script
Form and Instruction
n/a
Data Collection Sheet
Form and Instruction
n/a
Questions to be Cognitively Tested
Form and Instruction
n/a
RANDS 12 Questionnaire
[NCHS] 2024 NHIS Diabetes
Unchanged
108
144
0
Form and Instruction
0920-0222 (25BG)
Focus Grouip Protocol
Form and Instruction
0920-0222 (25BG)
Focus Group Telephone Screening Script
Form and Instruction
0920-0222 (25BG)
Respondent Data Collection Sheet
Form and Instruction
0920-0222 (25BG)
Cognitive Interviewing Telephone Screening Script
[NCHS] BMI Focus Groups
Unchanged
40
60
0
Form
0920-24IT
Respondent Data Collection
Form
0920-24IT
Respondent Informed Consent
[NCHS] CCQDER - NISVS
Unchanged
80
23
0
Form and Instruction
0920-0222
NISVS Screener
Form and Instruction
0920-0222
NISVS Questionnaire
Form
0920-0222
{NISVS] Respondent Data Collection Sheet (No Form)
[NCHS] CCQDER - Questions to Identify People with Intellectual and Developmental Disabilities at Point-of-Care Settings
New
225
72
0
Form and Instruction
n/a
Screening Script
Form and Instruction
n/a
Questions to be Cognitively Tested
Form and Instruction
n/a
Respondent Data Collection Sheet
[NCHS] CCQDER's Caregiver
Unchanged
45
35
0
Form and Instruction
n/a
Caregiving Questions
Form and Instruction
n/a
Caregiving Screening Script
Form and Instruction
n/a
Respondent Data Collection Sheet
[NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH
Unchanged
330
102
0
Form and Instruction
0920-0222-23EQ
Attachment 5a-5b Respondent Data Collection Sheet 4.28.23
Form and Instruction
0920- 0222-23EQ
Questions
Form and Instruction
0920-0222-23EQ
Screening Script
[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research
Unchanged
16600
4150
0
Form and Instruction
0920-0222-23EC
RANDS 8 Questionnaire
[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11
Modified
18600
6200
0
Form and Instruction
n/a
RANDS 11 Questionnaire-12.10.2024
[NCHS] Evaluation of Revised Questions on Cannabis Use and Experiences
Unchanged
200
58
0
Form and Instruction
n/a
Cannabis Questions to be Cognitively Tested
Form and Instruction
n/a
Cannabis Screening Script
Form and Instruction
n/a
Cannabis Data Collection Sheet
[NCHS] Point of Care Checklist Subproject 1: Conducting In-depth Interviews Among Those with Intellectual and Developmental Disabilities
Unchanged
180
61
0
Form and Instruction
n/a
Telephone Screening Script
Form and Instruction
n/a
Interviewer's Guide
Form and Instruction
n/a
Data Collection Sheets
[NCHS] RANDS 10 and Accompanying Cognitive Interviews (24CL)
Unchanged
6720
2290
0
Form
0920-0222
CCQDER RANDS 10 Questionnaire
Other-Proposed Questions
Form
0920-022 (24CL)
Telephone Screening Script
Form and Instruction
0920-0222 (24CL)
Respondent Data Collection Sheet
[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions
Unchanged
70
56
0
Form and Instruction
0920-0222
Attachment 6 Respondent Data Collection Sheet
Form and Instruction
0920-0222
ADHD Attachment 1 Questions to be tested
Form and Instruction
0920-0222
Attachment 5 Informed Consent ADHD
[NCHS]CCQDER's NHANES Feeding Practices
Unchanged
9190
9117
0
Form and Instruction
0920-24BI
Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN
Form and Instruction
0920-24BI
Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN
Form and Instruction
0920-24BI
Attachment 4a - Screening script NHANES 11.16.23 CLEAN
Form and Instruction
0920-24BI
Attachment 4b- Screening script NHANES 11.16.23 CLEAN
Form and Instruction
0920-24BI
Attachment 5a & 5b - Informed Consent NHANES 11.16.23
Form and Instruction
0920-24BI
Attachment 3a- NHANES English Advertisement
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
114083
38776
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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