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Generic Sub-study: Reliability Testing for Survey Questions about the Walking Environment

IC 215184 under ICR 201511-0925-002 · OMB 0925-0589.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Generic Sub-study: Reliability Testing for Survey Questions about the Walking Environment
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Appendix A Final Walking Environment First Appendix A Final Walking Environment First.pdf Yes Yes Fillable Fileable
Form and Instruction 2 Appendix B Final Walking Behaviors First Appendix B Final Walking Behaviors First.pdf Yes Yes Fillable Fileable
Form and Instruction 3 Appendix C Final Random Order Appendix C Final Random Order.pdf Yes Yes Fillable Fileable
Form and Instruction 4 Appendix D Final Cognitive Probes Appendix D Final Cognitive Probes.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,500 0
   
Individuals or Households
 
   100 %

  Requested 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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 274 0 0 0 0 274
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini SSB NCI Mini SSB Final.docx 02/23/2015
Mini SSA NCI Mini SSA Final KB-1.docx 02/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.