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

View Information Collection (IC)

CCQDER - Questions on Subjective Cognitive Decline 0920-0222-24HK
 
Unchanged
 
Voluntary
 

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

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population 09-20-0164  49 FR 37693

120 0
   
Individuals or Households
 
   50 %

  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 120 0 0 0 0 120
Annual IC Time Burden (Hours) 35 0 0 0 0 35
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Purpose and Development of Cognitive Decline Questions 07/11/2024
Suspected and Diagnosed Cognitive Decline Advertisements 07/11/2024
Informed Consent Forms 07/11/2024
Thank You Letter 07/11/2024
Data Retention Policy 07/11/2024
Non-Disclosure Affidavit 07/11/2024
Distress Guide 07/11/2024
Exempt Research Determination 07/11/2024
Supporting Statement A / GenIC Template 07/11/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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