2018 NLM SIS Emerging Adults Health Needs Assessment

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OMB: 0925-0648

IC ID: 230502

Information Collection (IC) Details

View Information Collection (IC)

2018 NLM SIS Emerging Adults Health Needs Assessment
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 SIS Emerging Adults Focus Group survey instrument SIS Emerging Adults Focus Group Survey Instrument.docx No   Paper Only
Form 2 SIS Emerging Adults Web Based Survey instrument SIS Emerging Adults Web Based Survey Instrument (screen shots).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

127 0
   
Individuals or Households
 
   50 %

  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 127 0 127 0 0 0
Annual IC Time Burden (Hours) 57 0 57 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2018 NLM SIS Emerging Adults Health Needs Assessment NLM Fast track_2018 NLM SIS Emerging Adults Health Needs Assessment.doc 03/06/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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