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 2021 Questionnaire (Version A) Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2022 Questionnaire (Version B) Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2021 Screens for Online Questionnaire Yes Yes Fillable Fileable
Form and Instruction N-SSATS 2021 CATI Questionnaire 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 0 0 0 11,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
N-SSATS 2021 Advance Letter 06/04/2020
N-SSATS 2021 Second Mailing Cover Letter 06/04/2020
N-SSATS 2021 Third Mailing Cover Letter 06/04/2020
N-SSATS 2021 Thank You Reminder Letter 06/04/2020
N-SSATS 2021 Completion Thank You Letter 06/04/2020
Webpages for the N-SSATS 2021 Information website 06/04/2020
N-SSATS 2021 First Mailing Cover Letter 06/04/2020
N-SSATS 2021 Online Questionnaire Access Instructions 06/04/2020
N-SSATS 2021 Frequently Asked Questions 06/04/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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