PRAMS Phase 8 - Spanish

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 218569

Information Collection (IC) Details

View Information Collection (IC)

PRAMS Phase 8 - Spanish 16BF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none PRAMS Phase 8 - Spanish Appendix 1 Qnne Spanish PRAMS final rev 101415.docx Yes Yes Fillable Fileable
Form and Instruction none Screener Appendix 3 rev Tele Screener Span PRAMS 101415.docx Yes Yes Fillable Fileable
Form none Respondent Data Sheet Appendix 5 Resp Data Collection Sheet Spanish PRAMS.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health adn Demogrpahic Surveys Conducted in Probability Samples of the US Population  49 FR 37693

68 0
   
Individuals or Households
 
   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 68 0 68 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Dr. Schwab 0920-0222 10-day PRAMS Spanish final rev 101415.docx 10/14/2015
Advertisement/Flyer Appendix 2a-d Ad&Flyer Spanish PRAMS.docx 10/14/2015
Consent Appendix 4 Informed Consent Spanish PRAMS.docx 10/14/2015
Thank you Letter Appendix 6 Thank You letter Spanish PRAMS.docx 10/14/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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