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View Information Collection (IC)

Assessing the Effectiveness of eLearning to Improve Birth Data Quality for NCHS 0920-0729-19HC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Hospital Staff List Att A1b. Hosp Staff List 111818.docx No   Paper Only
Form none Baseline Survey Att B2. Online Baseline Survey 110818.docx Yes Yes Fillable Fileable
Form none Follow-up Survey Att D2. Online Follow-up Survey 110818.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Users of Health Statistics  51 FR 42371

727 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 727 0 727 0 0 0
Annual IC Time Burden (Hours) 364 0 364 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Part A OMB 120718.docx 12/10/2018
Supporting Statement B Part B OMB 110818.docx 12/10/2018
Hospital Invitation Att A1a. Hosp Intro Invit 110818.docx 12/10/2018
Confidentiality FAQ Att A2. Confidentiality FAQ 111818.docx 12/10/2018
Data Collector Confidentiality Agreement Att A3. Data Collector Confi Agree 111518.docx 12/10/2018
Baseline Survey Invitation Att B1a. Baseline Survey Invit 110818.docx 12/10/2018
Baseline Survey Password Email Att B1b. Baseline Survey Password 110818.docx 12/10/2018
Baseline Survey Reminder Att B1c. Baseline Survey Reminder 110818.docx 12/10/2018
eLearning Course Invitation Att C1a. eLearning Course Invit 110818.docx 12/10/2018
eLearning Course Reminder Att C1b. eLearning Course Reminder 110818.docx 12/10/2018
Follow-up Survey Invitation Att D1a. Follow-Up Survey Invit 110818.docx 12/10/2018
Follow-up Survey Password Email Att D1b. Follow-Up Survey Password 110818.docx 12/10/2018
Follow-up Survey Reminder Att D1c. Follow-Up Survey Reminder 110818.docx 12/10/2018
Types of Outcomes Att E Types of Outcomes 110818.docx 12/10/2018
Thank you Email Att F. Thank You 110818.docx 12/10/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.