Information Collection

The NCHS Data Detective Camp

IC 220313 under ICR 201403-0920-018 · OMB 0920-0729.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

The NCHS Data Detective Camp

Agency IC Tracking Number:

16QY

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.