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

View Information Collection (IC)

2017 NHANES Health Behaviors Cognitive Interviewing Study 16AJD
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Fillable Fileable
Other-WORD No   Paper Only

Health Public Health Monitoring

 

126 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 126 0 126 0 0 0
Annual IC Time Burden (Hours) 38 0 38 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att2_Questionnaire - Spanish Version 05/13/2016
Att 3a-d_Flyer (English /Spanish) 05/13/2016
Att 5a-b_Consent Form 05/13/2016
Att 6a-b_Respondent Data Collection Sheet (Sample) 05/13/2016
Att 7a-b_Thank You Letters (English/Spanish) 05/13/2016
Att 8a-b_Special Consent 05/13/2016
Request for Approval 05/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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