Evaluation of Uniform Donor History Questionnaire and Evaluation of Violence Against Children Survey (VACS)- Malawi

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 204892

Information Collection (IC) Details

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Evaluation of Uniform Donor History Questionnaire and Evaluation of Violence Against Children Survey (VACS)- Malawi
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Attachment 1 Uniform Donor History Questionnaire Attach 1 - Uniform Donor Qnne.docx Yes Yes Fillable Fileable
Form None What to do when a loved one dies-A survivor's checklist Attach 3c - Survivor's Checklist.pdf Yes Yes Fillable Fileable
Form None Attachment 1: Violence Against Children Survey - Malawi: Age 13-24 years QDRL VACS Malawi Attach 1 - Qnne.docx Yes Yes Fillable Fileable

Health Immunization Management

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

65 0
   
Individuals or Households
 
   100 %

  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 65 0 0 0 0 0
Annual IC Time Burden (Hours) 75 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
QDRL OMB-10-day combo letter-1106 2012 QDRL OMB-10-day combo letter-1106 2012.doc 11/16/2012
Attach 3a - MD Grief & Loss Therapists Attach 3a - MD Grief & Loss Therapists.pdf 11/16/2012
Attach 3b - LLF Support Services Attach 3b - LLF Support Services.pdf 11/16/2012
Attach 3d - What Now Attach 3d - What Now.pdf 11/16/2012
Flyer for Malawi QDRL_VACS_Malawi_Attach_2-Flyer_v2[1].docx 12/20/2012
Flyer for Uniform Donor Attach_2abc_-_Uniform_Donor_flyer[1].docx 12/20/2012
Malawi ERB Protocol Attach 3 QDRL-ERB-VACS Malawi - approved by ERB 1219 2012.doc 12/20/2012
ERB Approval Memo - Malawi QDRL Malawi ERB approval memo.docx 12/20/2012
Mini Supporting Stmt for Uniform Donor QDRL Uniform Donor History 10-day letter- 1219 2012.docx 12/20/2012
Mini Supporting Stmt Malawi QDRL VACS Malawi 10-day letter-final 1219 2012.doc 12/20/2012
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