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

View Information Collection (IC)

New Questions
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Pre-test Questions Yes Yes Fillable Fileable

Health Public Health Monitoring

 

698 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 698 0 698 0 0 0
Annual IC Time Burden (Hours) 289 0 289 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screeners 11/20/2018
Forms 11/20/2018
Intro Script 11/20/2018
Letters 11/20/2018
Protocol 11/20/2018
Supporting Statement - Part A 11/20/2018
Supporting Statement - Part B 11/20/2018
Supporting Statement A 04/08/2019
Main Study Pretest Module 04/08/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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