OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Core Questionnaire - Child, Adult, & Household

IC 202214 under ICR 201407-0925-005 · OMB 0925-0593.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Core Questionnaire - Child, Adult, & Household
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 26.2 Survey CoreQuestionnaireAdult.docx Yes Yes Paper Only
Form and Instruction 26.3 Survey CoreQuestionnaireHousehold.docx Yes Yes Paper Only
Form and Instruction 26.1 Revised Survey CoreQuestionnaireChild_REVISED.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

1,107 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 9,963 0 0 0 0 9,963
Annual IC Time Burden (Hours) 5,646 0 0 0 0 5,646
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
VaccinationGridCoreModule VaccinationGridCoreModule.docx 11/08/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.