NCHS Data Detective 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⚠️ Notice: This information collection may be referencing outdated material.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
NCHS Data Detective Camp Form
Parent Application Att B Parent App 020218.docx Form
Student Application Att C Student App 020218.docx Form
Teacher Recommendation Att D Teacher Form 020618.docx Form
Registration Att E Registration Form 020618.docx Form
Parent Evaluation Att F Parent Eval Form 020618.docx Form
Student Evaluation Att G Student Eval Form 020618.docx Form
Supporting Statement A 022318.docx Supporting Statement A IC Document
Att A Camp Brochure.docx Camp Brochure IC Document
Att H Human Subject Research Determination.pdf IRB Non-research determination IC Document

Information Collection (IC) Details

IC Title:	NCHS Data Detective Camp	Agency IC Tracking Number:	0920-1185-18SZ

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Parent Application	Att B Parent App 020218.docx	Yes	Yes	Fillable Fileable
Form	none	Student Application	Att C Student App 020218.docx	Yes	Yes	Fillable Fileable
Form	none	Teacher Recommendation	Att D Teacher Form 020618.docx	Yes	Yes	Fillable Fileable
Form	none	Registration	Att E Registration Form 020618.docx	Yes	Yes	Fillable Fileable
Form	none	Parent Evaluation	Att F Parent Eval Form 020618.docx	Yes	Yes	Fillable Fileable
Form	none	Student Evaluation	Att G Student Eval Form 020618.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Users of Health Statistics	FR Citation: 56 FR 1324

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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
Supporting Statement A	Supporting Statement A 022318.docx	02/26/2018
Camp Brochure	Att A Camp Brochure.docx	02/26/2018
IRB Non-research determination	Att H Human Subject Research Determination.pdf	02/26/2018

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