Request for Non-substantive Change to an Existing Information Collection Request
OMB Approval # 0920-1047– Expiration date 1/31/2016
Justification for non-substantive change to OMB 0920-1047 “Application of a Web-based Health Survey in Schools”
For this study, the school employees may reside in very diverse locations, including inner-city neighborhoods or suburban settings. Including the zip code of residence as an additional question would be a simple, non-intrusive way to obtain important demographic information about each respondent. This information will provide insight into the socioeconomic status and housing density of the study population and will allow us to stratify analyses by geographic location.
We would like to add the following question to the main survey instrument (Q.5) and non-respondent questionnaire (Q.8):
Please indicate the zip code of your current residence: __ __ __ __ __
The addition of this question will not increase the overall burden time of the survey.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CDC User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |