Information Collection

Center for Epidemiologic Studies Depression Scale

IC 229188 under ICR 201803-0920-014 · OMB 0920-1190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Center for Epidemiologic Studies Depression Scale	Form
Center for Epidemiologic Studiesd Depression Scale Center for Epidemiologic Studies Short Depression Scale_ENGLISH.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Center for Epidemiologic Studiesd Depression Scale	Center for Epidemiologic Studies Short Depression Scale_ENGLISH.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0113 - Epidemic Investigation Case Records System

FR Citation: 51 FR 42466

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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