[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research

[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 259654

Information Collection (IC) Details

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[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research 0920-0222-23EC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222-23EC RANDS 8 Questionnaire Attachment 1 -RANDS 8 Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

16,600 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 16,600 0 16,600 0 0 0
Annual IC Time Burden (Hours) 4,150 0 4,150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2- Advertisement Attachment 2- Advertisement.docx 04/12/2023
Attachment 3- Screening Script Attachment 3- Screening Script.docx 04/12/2023
Attachment 4 - Informed Consent Attachment 4 - Informed Consent.docx 04/12/2023
Attachment 5- Thank You Letter Attachment 5- Thank You Letter.docx 04/12/2023
Attachment 6-Data Retention Policy Attachment 6-Data Retention Policy.docx 04/12/2023
Attachment 7 - NCHS Non-Disclosure Affidavit Attachment 7 - NCHS Non-Disclosure Affidavit.docx 04/12/2023
Attachment 8 - NORC CIPESA Protection Plan Attachment 8 - NORC CIPESA Protection Plan.docx 04/12/2023
SSA- RANDS 8 SSA- RANDS 8.docx 04/12/2023
SSB- RANDS 8 SSB- RANDS 8.docx 04/12/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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