View Information Collection (IC)

View Information Collection (IC)

NSCH Mail Materials Cognitive Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Mail Materials NSCH 2019 Mail Materials for Cognitive Testing_OMB.docx No   Paper Only

General Government Central Records & Statistical Mgt

 

30 0
   
Individuals or Households
 
   0 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 36 0 36 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo NSCH 2019 Mail Materials Cognitive Interviewing OMB Letter.docx 07/09/2019
Protocol NSCH 2019 Mail Materials Cognitive Interviewing Protocol_OMB.docx 07/09/2019
Consent Form NSCH 2019 Mail Materials Consent form_OMB.doc 07/09/2019
Telephone Screener NSCH 2019 Mail Materials Participant Screener_OMB.docx 07/09/2019
Screener Roster NSCH 2019 Mail Materials Screener Roster_OMB.docx 07/09/2019
Voucher NSCH 2019 Mail Materials Voucher_OMB.docx 07/09/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.