Information Collection

SEARCH CES-Depression

IC 197871 under ICR 201405-0920-004 · OMB 0920-0904.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0904 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 4b.3_CES-D (Cohort Feb 2014).pdf	Other-PDF

IC Title:

SEARCH CES-Depression

Agency IC Tracking Number:

0920-0904

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PDF			Att 4b.3_CES-D (Cohort Feb 2014).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 710

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	710	710
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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