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Young Adults
NEXT Generation Health Study - NICHD
OMB: 0925-0610
IC ID: 190911
OMB.report
HHS/NIH
OMB 0925-0610
ICR 201606-0925-005
IC 190911
( )
Documents and Forms
Document Name
Document Type
Form 1
Young Adults
Form and Instruction
Attachment 7 Physical Activity Recall 2012.doc
Instruction
1 Participant Online Survey
Attachment 1B - Participant Online Survey Screenshots.pdf
Form and Instruction
Attachment 1A Participant Hard Copy Survey 2012.doc
Attachment 1A Participant Hard Copy Survey 2012
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Young Adults
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Participant Online Survey
Attachment 1B - Participant Online Survey Screenshots.pdf
Yes
Yes
Fillable Fileable
Instruction
Attachment 7 Physical Activity Recall 2012.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
-2,100
0
0
2,100
Annual IC Time Burden (Hours)
0
0
-2,100
0
0
2,100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1A Participant Hard Copy Survey 2012
Attachment 1A Participant Hard Copy Survey 2012.doc
11/14/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.