National Center for Health Statistics (NCHS) Data Detectives Camp

Youth Outreach Generic Clearance for the National Center for Health Statistics (NCHS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1185 can be found here:

Documents and Forms

Document Name Document Type
Att B Parent App 040317.docx Other-Web-based
Att C Student App 040317.docx Other-Web-based
Att D Teacher Form 040317.docx Other-WORD
Att E Registration Form 040317.docx Other-WORD
Att E Registration Form 040317.docx Other-WORD
Att G Student Eval Form 040317.docx Other-WORD
Att A Camp Brochure 040317.docx Att A_NCHS Data Detective Camp Brochure IC Document
Supporting Statement A 040317.docx Supporting Statement A IC Document
Att H Human Subject Research Determination.pdf Att H_ NCHS IRB Determination IC Document

Information Collection (IC) Details

IC Title:	National Center for Health Statistics (NCHS) Data Detectives Camp	Agency IC Tracking Number:	0920-17ACR

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web-based	Att B Parent App 040317.docx	Yes	Yes	Fillable Fileable
Other-Web-based	Att C Student App 040317.docx	Yes	Yes	Fillable Fileable
Other-WORD	Att D Teacher Form 040317.docx	No		Paper Only
Other-WORD	Att E Registration Form 040317.docx	No		Paper Only
Other-WORD	Att E Registration Form 040317.docx	Yes	Yes	Fillable Printable
Other-WORD	Att G Student Eval Form 040317.docx	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 690	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	690	690
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att A_NCHS Data Detective Camp Brochure	Att A Camp Brochure 040317.docx	05/31/2017
Supporting Statement A	Supporting Statement A 040317.docx	05/31/2017
Att H_ NCHS IRB Determination	Att H Human Subject Research Determination.pdf	05/31/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.