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Developmental Studies to Improve the National Health Care Surveys 0920-21HS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21HS Contact info verification Att B-1 Advance Package Call Protocol.docx Yes Yes Fillable Fileable
Form and Instruction 0920-21HS Att A-1 Semi-Structured Telephone Protocol Att A-1 Semi-Structured Telephone Protocol.docx Yes Yes Fillable Fileable
Form and Instruction 0920-21HS Att A-2 Semi-Structured Telephone Protocol Case Studies Att A-2 Semi-Structured Telephone Protocol Case Studies.docx Yes Yes Fillable Fileable
Form and Instruction 0920-21HS Att C-Electronic File Development and Regulatory Review Att C-Electronic File Development and Regulatory Review.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

265 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 265 0 265 0 0 0
Annual IC Time Burden (Hours) 229 0 229 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D Human Subjects Determination Att D Human Subjects Determination.docx 08/25/2021
Att B-3 Advance Package letter of support Att B-3 Advance Package letter of support.docx 08/25/2021
Att B-4 Advance Package confidentiality brochure Att B-4 Advance Package confidentiality brochure.docx 08/25/2021
Thank you Letter Att E Thank you letter.docx 08/25/2021
Sup Stat Part A NPALS Frame Development NPALS Frame Supp State A 092121_clean.docx 09/24/2021
Sup Stat Part B NPALS Frame Dev NPALS Frame Supp State B 092121_clean.docx 09/24/2021
Advance Ltr from NCHS Att B-2 Advance Package NCHS letter 092121_clean.docx 09/24/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.