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

View Information Collection (IC)

[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research 0920-0222-23EC
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222-23EC Yes Yes Fillable Fileable

Health Public Health Monitoring

 

16,600 0
   
Individuals or Households
 
   100 %

  Requested 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 16,600 0 0 0 0 16,600
Annual IC Time Burden (Hours) 4,150 0 0 0 0 4,150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2- Advertisement 04/12/2023
Attachment 3- Screening Script 04/12/2023
Attachment 4 - Informed Consent 04/12/2023
Attachment 5- Thank You Letter 04/12/2023
Attachment 6-Data Retention Policy 04/12/2023
Attachment 7 - NCHS Non-Disclosure Affidavit 04/12/2023
Attachment 8 - NORC CIPESA Protection Plan 04/12/2023
SSA- RANDS 8 04/12/2023
SSB- RANDS 8 04/12/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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