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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCHS] Sampling Frame
Agency IC Tracking Number:
0920-1030-23GR
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-1030
Semi Structured Telephone Protocol
Att A Semi-Structured Telephone Protocol_2024.docx
No
Paper Only
Form and Instruction
0920-1030
Advance Package Call Protocol
Att B-1 Advance Package Call Protocol_2024.docx
No
Fillable Fileable
Instruction
Att C-Electronic File Development_2024.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
87
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
87
0
87
0
0
0
Annual IC Time Burden (Hours)
138
0
138
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA [NPALS Frame]
NPALS Frame_SSA_ Rev2.072123.docx
07/21/2023
SSB [NPALS Frame]
NPALS Frame Supp State B 062623.docx
07/19/2023
Advance Package NCHS letter
Att B-2 Advance Package NCHS letter_2024.docx
07/19/2023
Advance Package Letter of Support
Att B-3 Advance Package letter of support_2024.docx
07/19/2023
Advance Package DHCS Confidentiality Brochure
Att B-4 Advance Package confidentiality brochure_2024.docx
07/19/2023
Human Subjects Research Determinatio
Att D Human Subjects Determination_2024.docx
07/19/2023
Thank You Letter
Att E Thank you letter_2024.docx
07/19/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.