2019 AHS Cognitive Testing

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 230292

Information Collection (IC) Details

View Information Collection (IC)

2019 AHS Cognitive Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Protocol and Questionnaire AHS 2019 Protocol_Round 1_FINAL_03272018_clean.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

35 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 35 0 35 0 0 0
Annual IC Time Burden (Hours) 53 0 53 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Screener Enclosure 2 - 2019 AHS Screener_02282018.docx 03/01/2018
Consent Form Enclosure 4 - Consent Form_AHS 2019_ 02282018.docx 03/01/2018
Recruitment Ads Enclosure 3a - AHS Recruiting Ads_BOC Email and Craigslist_02282018.pdf 03/01/2018
Recruitment Flyer Enclosure 3b - AHS Recruiting Ad_Flyer_02282018.pdf 03/01/2018
OMB Memo OMB Memo_AHS_FINAL_02282018.docx 03/22/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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