View Information Collection (IC)

View Information Collection (IC)

Cognitive Testing of NSCH Questionnaire
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 NSCH 2021 Screener Survey NSCH 2021 Screener Survey_Cognitive Interviewing Version.pdf No   Fillable Fileable
Form and Instruction 2 NSCH 2021 Topical V1 NSCH 2021 T1_Cognitive Interviewing Version.pdf No   Fillable Fileable
Form and Instruction 3 NSCH 2021 Topical V2 NSCH 2021 T2_Cognitive Interviewing Version.pdf No   Fillable Fileable
Form and Instruction 4 NSCH 2021 Topical V3 NSCH 2021 T3_Cognitive Interviewing Version.pdf No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

40 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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 48 0 48 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Letter NSCH 2021 Content Cognitive Interviewing Letter_FINAL_REVISED.docx 08/31/2020
Screener NSCH 2021 Content Cognitive Interviewing Participant Screener_FINAL_OMB.docx 07/14/2020
Consent Form NSCH 2021 Content Cognitive Interviewing Consent Form_FINAL_OMB.docx 07/14/2020
Protocol NSCH 2021 Content Cognitive Interviewing Protocol_FINAL_OMB.docx 07/14/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.