The NCHS Data Detective Camp

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0729 The NCHS Data Detective Camp Form and Instruction
0920-0729 Att B Parent App Att B Parent App 010516.docx Form and Instruction
0920-0729 Att C Student App Att C Student App 010516.docx Form and Instruction
0920-0729 Att D Teacher Form Att D Teacher Form 010516.docx Form and Instruction
0920-0729 Att E Registration Form Att E Registration Form 010516.docx Form and Instruction
0920-0729 Att F Parent Eval Form Att F Parent Eval Form 010516.docx Form and Instruction
0920-0729 Att G Student Eval Form Att G Student Eval Form 010516.docx Form and Instruction
Att A Camp Brochure 010516.docx Att A Camp Brochure IC Document
Supporting Statement A 022216.docx Supporting Statement A IC Document
Att H Human Subject Research Determination.pdf Att G Student Eval Form IC Document

Information Collection (IC) Details

IC Title:	The NCHS Data Detective Camp	Agency IC Tracking Number:	16QY

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0729	Att B Parent App	Att B Parent App 010516.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0729	Att C Student App	Att C Student App 010516.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0729	Att D Teacher Form	Att D Teacher Form 010516.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0729	Att E Registration Form	Att E Registration Form 010516.docx	Yes	Yes	Fillable Printable
Form and Instruction	0920-0729	Att F Parent Eval Form	Att F Parent Eval Form 010516.docx	Yes	Yes	Fillable Printable
Form and Instruction	0920-0729	Att G Student Eval Form	Att G Student Eval Form 010516.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0169 Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	570	570
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att A Camp Brochure	Att A Camp Brochure 010516.docx	02/29/2016
Supporting Statement A	Supporting Statement A 022216.docx	02/29/2016
Att G Student Eval Form	Att H Human Subject Research Determination.pdf	02/29/2016

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