Information Collection

Screener for One-on-One Surveys

IC 194002 under ICR 201007-0920-010 · OMB 0920-0869.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0869 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3a Screening Tool Screener for One-on-One Surveys	Form and Instruction
Form 3c Screener for One-on-One Surveys Screener for One-on-One Surveys	Form and Instruction
Form 3c 0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys.10062010 Screener for One-on-One Surveys	Form and Instruction
Form 3a 0920-09CJ_att3a_Screener for One-on-One Interviews.10062010-1 Screener for One-on-One Surveys	Form and Instruction
0920-09CJ_att3b_One-on-One Interview Guide OADS.06162010.docx	Other-Interview Guide
0920-09CJ_att3b_One-on-One Interview Guide OADS 10062010.docx	Other-Interview Guide att3b 100610
3a Screening Tool 0920-09CJ_att3a_Screener for One-on-One Interviews.OADS.docx	Form and Instruction
3c Screener for One-on-One Surveys 0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys.OADS.docx	Form and Instruction
3c 0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys. 0920-09CJ_att3c_Phase 2 Screener for One-on-One Surveys.10062010.docx	Form and Instruction
3a 0920-09CJ_att3a_Screener for One-on-One Interviews.10062 0920-09CJ_att3a_Screener for One-on-One Interviews.10062010-1.docx	Form and Instruction

Record metadata
IC Title	Screener for One-on-One Surveys