PRAMS - English

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 219197

Information Collection (IC) Details

View Information Collection (IC)

PRAMS - English 16GL
 
New
 
Voluntary
 

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

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples o fhte 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
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.

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