UNICEF/Washington Group School Environment Study

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 215509

Information Collection (IC) Details

View Information Collection (IC)

UNICEF/Washington Group School Environment Study 15RL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Questionnaire Attach 1 - Qnne 022715.docx No   Paper Only
Form none Screener Attach 3 - Phone Screener 022715.docx No   Paper Only

Health Public Health Monitoring

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

73 0
   
Individuals or Households
 
   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 73 0 73 0 0 0
Annual IC Time Burden (Hours) 29 0 29 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10-Day Letter 0920-0222 QDRL Environ ltr 022715 sig.docx 03/03/2015
Informed Consent Attach 4 - Informed Consent.docx 03/03/2015
Special Consent Attach 5 - Special Consent.docx 03/03/2015
Flyer Attach 2 - Adflyer.docx 03/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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