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View Information Collection (IC)

[NCHS] CCQDER - Questions to Identify People with Intellectual and Developmental Disabilities at Point-of-Care Settings 0920-25-0115
 
New
 
Voluntary
 

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

Health Public Health Monitoring

 

225 0
   
Individuals or Households
 
   90 %

  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 225 0 225 0 0 0
Annual IC Time Burden (Hours) 72 0 72 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Purpose and Development of Questions 07/07/2025
Advertisement 1 07/07/2025
Advertisement 2 07/07/2025
Advertisement 3 07/07/2025
Advertisement 4 07/07/2025
Advertisement 5 07/07/2025
Informed Consent Forms 07/07/2025
Thank You Letter 07/07/2025
Data Retention Policy 07/07/2025
NCHS Non-Disclosure Affidavit 07/07/2025
Research Determination 07/07/2025
SSA 07/07/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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