View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

N-SSATS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N-SSATS 2019 Screens for Online Questionnaire Yes Yes Fillable Fileable
Form and Instruction CATI Questionnaire Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2019 questionnaire (Version A) Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2020 questionnaire (Version B) Yes Yes Fillable Fileable

Health Public Health Monitoring

 

17,000 0
   
State, Local, and Tribal Governments
 
   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 17,000 0 0 0 0 17,000
Annual IC Time Burden (Hours) 11,333 0 963 0 0 10,370
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
N-SSATS 2019 Advance Letter 10/12/2018
N-Cover Letter 10/12/2018
N-SSATS 2019 Thank You_Reminder Letter 10/12/2018
N-SSATS 2019 Second Mailing Cover Letter 10/12/2018
N-SSATS Third Mailing Cover Letter 10/12/2018
N-SSATS 2019 Completion ThankYou Letter 10/12/2018
Web Pages 2019 N-SSATS Information Website 10/12/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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