Information Collection

QDRL - SLAITS National Survey of Children's Health

IC 195152 under ICR 201002-0920-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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
QDRL - SLAITS National Survey of Children's Health	Form
National Survey of Children's Health QDRL OMB-10-day letter-SLAITS 101410 Att 1.doc	Form
QDRL OMB-10-day letter-SLAITS 101410 (2).doc Supporting Statement	IC Document
QDRL OMB-10-day letter-SLAITS 101410 Att 2.doc Recruitment Flyer	IC Document

IC Title:

QDRL - SLAITS National Survey of Children's Health

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	none	National Survey of Children's Health	QDRL OMB-10-day letter-SLAITS 101410 Att 1.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probablity Samples of the US Population

FR Citation: 49 FR 37693

Number of Respondents: 25

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 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	25	0	0	0	0	0
Annual IC Time Burden (Hours)	25	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
Supporting Statement	QDRL OMB-10-day letter-SLAITS 101410 (2).doc	11/03/2010
Recruitment Flyer	QDRL OMB-10-day letter-SLAITS 101410 Att 2.doc	11/03/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.