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Sub-study #33_User Simulation Study for NIH-SSA Collaboration to Improve Disability Determination (Revised)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Item Bank Behavioral Health Questions Attach A_REVISED_All Behavioral Health CAT Items_11-5-2013.doc Yes Yes Fillable Fileable
Form and Instruction 2 Item Bank Physical Function Questions Attach B_REVISED_All PF CAT Items_11-5-2013.doc Yes Yes Fillable Fileable
Form and Instruction 3 Initial Screenshot of CAT Attach C_ CAT Instrument Screen Shot.doc Yes Yes Fillable Fileable
Form and Instruction 4 Debriefing Interview for Feds Attach E_REVISED Debriefing Interview Questions for Feds.doc No No Printable Only

Income Security General Retirement and Disability

 

125 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 125 0 0 0 0 0
Annual IC Time Burden (Hours) 63 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#33_REVISED Fast-Track_SSA User Simulation #33_REVISED Fast-Track_SSA User Simulation.doc 11/05/2013
Attach D_IRB Exempt Attach D_IRB Exempt.pdf 11/05/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.