Information Collection

Questionnaire Design Research Laboratory- testin CDC Spanish Language

IC 182407 under ICR 200710-0920-008 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.