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

View Information Collection (IC)

Phase 2 - ABS, paper screener, Roster method
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none No   Paper Only

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

389 0
   
Individuals or Households
 
   0 %

  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 389 0 -5,311 0 0 5,700
Annual IC Time Burden (Hours) 19 0 -2,617 0 0 2,636
Annual IC Cost Burden (Dollars) 514 0 514 0 0 0

Title Document Date Uploaded
Description of Program Changes/Adjustments 06/14/2019
Cognitive Testing Plan 06/14/2019
Cognitive Testing Recruitment Ad 06/14/2019
Web-based Recruitment Screener 06/14/2019
Cognitive Testing Informed Consent 06/14/2019
CATI Instrument Cognitive Testing Protocol 06/14/2019
PAPER Instrument Cognitive Testing Protocol 06/14/2019
WEB-BASED Instrument Cognitive Testing Protocol 06/14/2019
Crosswalk of NISVS Instrument Revisions 06/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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