QDRL - ACASI testing for sexual identity question on NHIS

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 197466

Information Collection (IC) Details

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QDRL - ACASI testing for sexual identity question on NHIS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Att 2 - Cognitive testing interview guide QDRL 10-day sex ID NHIS Attachment 2 ACASI instru-v2.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

Health and Demographic Surveys Conducted in Probablity Samples of the US Population  49 FR 37693

100 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 100 0 0 0 0 0
Annual IC Time Burden (Hours) 150 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10 day letter to Dr. Schwab QDRL OMB-10-day letter-A-CASI HR 041511.doc 04/25/2011
Att 3a - advertisement/flyer QDRL 10-day sex ID NHIS Attachment 3 flyers.docx 04/25/2011
Att 1 - Instructions and introductory materials OMB QDRL 10-day sex ID NHUIS Attachment 1 Intro materials-v2.docx 04/25/2011
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