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

[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11 0920-25-0099
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

 

18,600 0
   
Individuals or Households
 
   90 %

  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 18,600 0 0 0 0 18,600
Annual IC Time Burden (Hours) 6,200 0 0 0 0 6,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NCHS Non-Disclosure Affidavit 11/12/2024
Research Determination 11/12/2024
SSA 11/12/2024
Previous Use and Development 12/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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