AHS Revised Modules Cog Testing

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 221659

Information Collection (IC) Details

View Information Collection (IC)

AHS Revised Modules Cog Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AHS Protocol AHS Protocol AHS FINAL Protocol_Round 1_05232016.docx Yes Yes Paper Only
Form and Instruction AHS Screener AHS Screener Recruitment Screener 160520.docx Yes Yes Paper Only

General Government Central Records & Statistical Mgt

 

35 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 35 0 35 0 0 0
Annual IC Time Burden (Hours) 53 0 53 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo OMB Memo_FINAL.docx 05/23/2016
OMB Memo FINAL Revised OMB Memo_FINAL (2)_SSP.docx 06/17/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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