2017 NHANES Health Behaviors Cognitive Interviewing Study

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 218517

Information Collection (IC) Details

View Information Collection (IC)

2017 NHANES Health Behaviors Cognitive Interviewing Study 16AG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222 (16AG) Appendix 3 - NHANES Screener 090215 Appendix 3 - NHANES Screener 090215.docx Yes Yes Fillable Printable
Form and Instruction 0920-0222 (16AG) Appendix 1 - NHANES Questions for Cognitive Testing Appendix 1 - NHANES Questions for Cognitive Testing 090215.docx Yes Yes Fillable Printable
Form and Instruction 0920-0222 (16AG) Appendix 2a&b - NHANES Adv Flyer Appendix 2a&b - NHANES Adv Flyer.docx Yes Yes Fillable Printable
Form and Instruction 0920-0222 (16AG) Appendix 4 - NHANES Informed Consent Appendix 4 - NHANES Informed Consent 090215.docx Yes Yes Fillable Printable
Form and Instruction 0920-0222 (16AG) Appendix 5 - Special Consent Appendix 5 - Special Consent rev2.docx Yes Yes Fillable Printable

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probablity Sampes of the U.S. Population 09-20-0164  49 FR 37693

156 0
   
Federal Government
 
   100 %

  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 156 0 156 0 0 0
Annual IC Time Burden (Hours) 68 0 68 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10-day NHANES letter 10-day NHANES letter 100215.docx 10/07/2015
flashcard ALQ1 flashcard ALQ1.pdf 10/07/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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