Violence Against Children Survey Evaluation Study - Philippines

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Document Name Document Type
Violence Against Children Survey Evaluation Study - Philippines Form
Violence Against Children Survey QDRL VACS Attach 1 - Qnne final 0710 2012.docx Form
QDRL VACS Attach 2-Flyer.docx Flyer IC Document
QDRL VACS 10-day letter - final 0710 2012.doc Letter to Dr. Schwab IC Document

Information Collection (IC) Details

IC Title:	Violence Against Children Survey Evaluation Study - Philippines	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	Violence Against Children Survey	QDRL VACS Attach 1 - Qnne final 0710 2012.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: Health and Demographic Surveys Conducted in Probability Samples of the US Population	FR Citation: 49 FR 37693

Number of Respondents: 40	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	40	0	0	0	0	0
Annual IC Time Burden (Hours)	80	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Flyer	QDRL VACS Attach 2-Flyer.docx	07/11/2012
Letter to Dr. Schwab	QDRL VACS 10-day letter - final 0710 2012.doc	07/11/2012

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