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QDRL - ACASI testing for sexual identity question on NHIS
NCHS Questionnaire Design Research Laboratory
OMB: 0920-0222
IC ID: 197466
OMB.report
HHS/CDC
OMB 0920-0222
ICR 201002-0920-006
IC 197466
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:
2022-12-21 - Revision of a currently approved collection
2021-08-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
QDRL - ACASI testing for sexual identity question on NHIS
Form
Att 2 - Cognitive testing interview guide
QDRL 10-day sex ID NHIS Attachment 2 ACASI instru-v2.docx
Form
QDRL OMB-10-day letter-A-CASI HR 041511.doc
10 day letter to Dr. Schwab
IC Document
QDRL 10-day sex ID NHIS Attachment 3 flyers.docx
Att 3a - advertisement/flyer
IC Document
OMB QDRL 10-day sex ID NHUIS Attachment 1 Intro materials-v2.docx
Att 1 - Instructions and introductory materials
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
QDRL - ACASI testing for sexual identity question on NHIS
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
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:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.