Information Collection

Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health

IC 196089 under ICR 201008-0920-001 · OMB 0920-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey to Pathways to Diagnosis and Treatment telephone interview Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form
Survey of Pathways to Diagnosis and Services mail questionnaire Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form
NSCH - telephone interview Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form
Survey to Pathways to Diagnosis and Treatment telephone Attach 2 SPDS teleph questnnaire 01_21_11.docx	Form
Survey of Pathways to Diagnosis and Services mail questi Attach 3 SPDS mail questionnaire 01_21_11.docx	Form
NSCH - telephone interview Attach 5 NSCH questnnaire 01_21_11.docx	Form
Attach 4 SPDS expert panel 01_21_11.docx Survey of Pathways - expert panel	IC Document
Attach 1 SPDS adv letters 01_21_11.docx Survey of Pathways - advance letters	IC Document
2011 SPDS OMB 83C parts A_B 01_21_11.docx Survey of Pathways - supporting statement	IC Document
2011 NSCH OMB 83C part A 01_21_11.docx NSCH - supporting statement	IC Document
Attach 6 NSCH instrum rev summary 01_21_11.docx NSCH - summary of revisions for 2011	IC Document

IC Title:

Survey to Pathways to Diagnosis and Services and 2011 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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Yes	Yes	Fillable Fileable
Form	none	No	No	Fillable Printable
Form	none	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

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

FR Citation: 49 FR 37637

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	8,000	0	0	0	0	0
Annual IC Time Burden (Hours)	3,667	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
Survey of Pathways - expert panel		01/27/2011
Survey of Pathways - advance letters		01/27/2011
Survey of Pathways - supporting statement		01/27/2011
NSCH - supporting statement		01/27/2011
NSCH - summary of revisions for 2011		01/27/2011

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

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