Spanish Cognitive Study to Examine Traumatic Brain Injury Questions

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 223018

Information Collection (IC) Details

View Information Collection (IC)

Spanish Cognitive Study to Examine Traumatic Brain Injury Questions 16AZR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Spanish Questions - TBI Spanish TBI Attach 1 Qnne.docx Yes No Fillable Fileable
Form and Instruction none Spanish Telephone Screener Spanish TBI Attach 3 phone screener.docx Yes No Fillable Fileable
Form none Spanish Data Collection Sheet Spanish TBI Attach 5 Resp Data Collect.docx Yes No Fillable Fileable

Health Public Health Monitoring

 

58 0
   
Individuals or Households
 
   0 %

  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 58 0 58 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Dr. Schwab Spanish TBI 10-day letter 081116.docx 08/15/2016
Advertisement/Flyer Spanish TBI Attach 2a&b ad&flyer.docx 08/15/2016
Consent Spanish TBI Attach 4 Informed Consent.docx 08/15/2016
Thank you Letter Spanish TBI Attach 6 ThankYou letter.docx 08/15/2016
Video Consent Spanish TBI Attach 7 Special Consent.docx 08/15/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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