PRAMS - English

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Document Name Document Type
PRAMS - English Form
PRAMS Phase 8 Supplemental Questions PRAMS P8 App1a 120415.docx Form
PRAMS screener PRAMS P8 App3 Telephone Screener rev.docx Form
0920-0222 10-day letter PRAMS English 120415.docx 10 day Letter to Dr. Schwab IC Document
PRAMS P8 App1b 120415.docx Questions and Rationale for Selection IC Document
PRAMS P8 App2 ad&flyers.docx Flyers and Advertisements IC Document
PRAMS P8 App4 Informed Consent.docx Consent IC Document

Information Collection (IC) Details

IC Title:	PRAMS - English	Agency IC Tracking Number:	16GL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	PRAMS Phase 8 Supplemental Questions	PRAMS P8 App1a 120415.docx		Yes	No	Fillable Fileable
Form	none	PRAMS screener	PRAMS P8 App3 Telephone Screener rev.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Health and Demographic Surveys Conducted in Probability Samples o fhte US Population	FR Citation: 49 FR 37693

Number of Respondents: 68	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	68	68
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
10 day Letter to Dr. Schwab	0920-0222 10-day letter PRAMS English 120415.docx	12/07/2015
Questions and Rationale for Selection	PRAMS P8 App1b 120415.docx	12/07/2015
Flyers and Advertisements	PRAMS P8 App2 ad&flyers.docx	12/07/2015
Consent	PRAMS P8 App4 Informed Consent.docx	12/07/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.