Information Collection

Cognitive Research On Response Errors In Health Survey Questions

IC 110983 under ICR 199305-0920-001 · OMB 0920-0264.

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IC Title:

COGNITIVE RESEARCH ON RESPONSE ERRORS IN HEALTH SURVEY QUESTIONS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,000	11,950	1,050
Annual IC Time Burden (Hours)	3,242	885	2,357
Annual IC Cost Burden (Dollars)	0	0	0

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