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

View Information Collection (IC)

National Intimate Partner and Sexual Violence SCREEN - General Population 0920-0822-19AHR
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0822 NA No   Fillable Fileable
Form and Instruction 0920-0822 NA No   Fillable Fileable
Form and Instruction 0920-0822 Yes Yes Fillable Fileable
Form and Instruction 0920-0822 No   Paper Only
Form and Instruction 0920-0822 Yes Yes Fillable Fileable
Form and Instruction 0920-0822 No   Paper Only
Form and Instruction 0920-0822 No   Fillable Fileable
Form and Instruction 0920-0822 No   Paper Only

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

204,000 0
   
Individuals or Households
 
   0 %

  Requested 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 204,000 0 0 0 0 204,000
Annual IC Time Burden (Hours) 10,200 0 0 0 0 10,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att A_ Program Changes and Adjustments 04/04/2019
Att B_Crosswalk of NISVS Instrument Revisions 04/04/2019
Att F_NISVS Redesign Cognitive Testing Plan 04/04/2019
Att G_Recruitment Ad 04/04/2019
Att I_Consent Form 04/04/2019
Change Request Justification and Overview 04/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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