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[NCCDPHP] Pilot Testing of State-Level Prevalence Estimation Using a YouGov Internet Panel 0920-1291-23GP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1291 CDC Questionnaire - BRFSS subset Attachment 1 CDC questionnaire BRFSS subset.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1291 Panel Core Questions Attachment 2 core questions.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

2,200 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 2,200 0 2,200 0 0 0
Annual IC Time Burden (Hours) 550 0 550 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Statement/Form Attachment 3 consent.docx 07/05/2023
YouGov Recruitment/Methodology Attachment 4 YouGov panel recruitment and survey methodology-combined.pdf 07/05/2023
0920-1291 GenIC Request Template Pilot Testing of State-Level Prevalence Estimation YouGov.docx 07/05/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.