Adult and Child Disability Questions

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 209941

Information Collection (IC) Details

View Information Collection (IC)

Adult and Child Disability Questions
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Screening Script 0920-0222 Attach 3 - Screening script 0106 2014.docx No No Fillable Printable
Form none Adult Disability Questions 0920-0222 Attachment 1a - Adult Disability Questions 0106 2014.doc No No Fillable Printable
Form none Child Disability Questions 0920-0222 Attachment 1b - Child Disability Questions 0106 2014.docx No No Fillable Printable

Health Immunization Management

Health and Demographic Surveys Conducted in Probability Samples of the US Population   49 FR 37693

100 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 100 0 0 0 0 0
Annual IC Time Burden (Hours) 100 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Dr. Schwab 0920-0222 QDRL Adult Child Disabilty 10-day letter 0106 2014 (nonhighlighted).docx 01/08/2014
Att 2 - Advertisements 0920-0222 Attach 2a-f Advertisements & Flyers.docx 01/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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