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

View Information Collection (IC)

[NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH 0920-0222-23EQ
 
Unchanged
 
Voluntary
 

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

Health Public Health Monitoring

 

330 0
   
Individuals or Households
 
   0 %

  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 330 0 0 0 0 330
Annual IC Time Burden (Hours) 102 0 0 0 0 102
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2a-2c-Advertisement 4.5.23 05/05/2023
Attachment 4a-4f- Informed Consent 4.28.23 05/05/2023
Attachment 6- PCE Thank You Letter 05/05/2023
Attachment 7-Data Retention Policy 05/05/2023
Attachment 8 -Distress guide 05/05/2023
Attachment 9- NCHS Non-Disclosure Affidavit 4.28.23 05/05/2023
SSB-Childhood Experiences 4.28.23 05/05/2023
Sup. Stmt. Part A: Childhood Experiences 05/31/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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