Disability/Mobility Testing Instrument

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 189765

Information Collection (IC) Details

View Information Collection (IC)

Disability/Mobility Testing Instrument
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form unnumbered Disability testing form QDRL OMB-10-day letter-Mobility-ImpairedAtt 2.doc Yes Yes Paper Only

Health Public Health Monitoring

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

30 0
   
Individuals or Households
 
   0 %

  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 30 0 0 0 0 0
Annual IC Time Burden (Hours) 30 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10-day letter request QDRL OMB-10-day letter-Mobility-Impaired060909.doc 06/15/2009
advertisement QDRL OMB-10-day letter-Mobility-ImpairedAtt 1.doc 06/15/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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