NYCHVS Cognitive Interviews

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 236358

Information Collection (IC) Details

View Information Collection (IC)

NYCHVS Cognitive Interviews
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Protocol V1 (Owner) Enclosure 1_Owner Protocol_revised.docx No   Fillable Fileable
Form and Instruction 2 Protocol V2 (Renter) Enclosure 2_Renter Protocol_revised.docx No   Fillable Fileable
Form and Instruction 3 Flash Cards Enclosure 4_Flash Cards.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

72 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 72 0 72 0 0 0
Annual IC Time Burden (Hours) 108 0 108 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo OMB Memo_NYCHVS 2021 Redesign 190604.docx 06/05/2019
Recruitment Screener Enclosure 3_Screener.docx 06/05/2019
Consent Form Enclosure 5_Consent Form.docx 06/05/2019
Voucher Form Enclosure 6_Payment Voucher.doc 06/05/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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