View Information Collection (IC)

View Information Collection (IC)

NSCH Questionnaire Cognitive Interviews
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Screener Survey NSCH Screener Survey.pdf No   Fillable Fileable
Form and Instruction 2 Cognitive Interview Version 1 nscht1_20_092319.pdf No   Fillable Fileable
Form and Instruction 3 Cognitive Interview Version 2 nscht2_20_092319.pdf No   Fillable Fileable
Form and Instruction 4 Cognitive Interview Version 3 nscht3_20_092319.pdf No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

54 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 54 0 54 0 0 0
Annual IC Time Burden (Hours) 65 0 65 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo NSCH 2019 Content Cognitive Interviewing Letter_OMB.docx 07/24/2019
Protocol NSCH 2019 Content Cognitive Interviewing Protocol_OMB_revised_09232019.docx 09/25/2019
Consent Form NSCH 2019 Content Consent form_OMB.doc 07/24/2019
Recruitment Screener NSCH 2019 Content Participant Screener_OMB.docx 07/24/2019
Voucher Form NSCH 2019 Content Voucher_OMB.docx 07/24/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.