Labor Force Module of Persons with Disabilities

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 219178

Documents and Forms
Document Name
Document Type
Other-Telephone Screener
Other-Telephone Questionnaire
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Labor Force Module of Persons with Disabilities 16GI
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Telephone Screener Labor Force - Appendix 3 Telephone Screener.docx Yes Yes Fillable Printable
Other-Telephone Questionnaire Labor Force - Appendix 1 Qnne 120215.docx Yes Yes Fillable Printable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

68 0
   
Individuals or Households
 
   100 %

  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 68 0 68 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Ads & Flyers Labor Force - Appendix 2a-c Ads&Flyers.docx 12/06/2015
Informed Consent Labor Force - Appendix 4 Informed Consent.docx 12/06/2015
Special Consent Labor Force - Appendix 5 Special Consent.docx 12/06/2015
10-day Letter Request Labor Force -10day letter 120215.docx 12/06/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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