Questionnaire Design Research Laboratory- testin CDC Spanish Language

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0222 Questionnaire Design Research Laboratory- testin CDC Spanish Language Form and Instruction
0920-0222 Attachment 2 PRAMS Instrument Attach2-QDRL-Spanish PRAMS-Qnne.doc Form and Instruction
Attachment 1.doc QDRL flyer.doc Attachment 1 Advertisement IC Document

Information Collection (IC) Details

IC Title:	Questionnaire Design Research Laboratory- testin CDC Spanish Language	Agency IC Tracking Number:

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	0920-0222	Attachment 2 PRAMS Instrument	Attach2-QDRL-Spanish PRAMS-Qnne.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0164 Health and Democratic Surveys Conducted in Probability Samples of the U.S. Populations	FR Citation: 49 FR 37693

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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	20	0	0	0	0	0
Annual IC Time Burden (Hours)	20	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 1 Advertisement	Attachment 1.doc QDRL flyer.doc	10/09/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.