OMB
.report
Search
Validity Study of Intellectual and Disability Questions
Collaborating Center for Questionnaire Design and Evaluation Research
OMB: 0920-0222
IC ID: 236041
OMB.report
HHS/CDC
OMB 0920-0222
ICR 201807-0920-004
IC 236041
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:
2022-12-21 - Revision of a currently approved collection
2021-08-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
GenIC 0920 0222 Validity Study Attach 1ab.doc
Other-WORD
GenIC 0920 0222 Validity Study Attach 3ab.doc
Other-WORD
GenIC 0920 0222 Validity Study Attach 5.doc
Other-WORD
GenIC 0920 0222 Validity Study Attach 2abc.doc
Att 2a _ Advertisement/flyer
IC Document
Gen IC 0920 0222 Validity Study Attach 4.doc
Att 4a_ Informed Consent
IC Document
GenIC 0920 0222 Validity Study Attach 6.doc
Att 6_Thank You Letter
IC Document
GenIC 0920 0222 Validity Study 10-day letter.doc
10-Day Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Validity Study of Intellectual and Disability Questions
Agency IC Tracking Number:
0920-0222-19AUI
IC Status:
New
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
Other-WORD
GenIC 0920 0222 Validity Study Attach 1ab.doc
No
Paper Only
Other-WORD
GenIC 0920 0222 Validity Study Attach 3ab.doc
No
Paper Only
Other-WORD
GenIC 0920 0222 Validity Study Attach 5.doc
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:
320
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
320
0
320
0
0
0
Annual IC Time Burden (Hours)
94
0
94
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 2a _ Advertisement/flyer
GenIC 0920 0222 Validity Study Attach 2abc.doc
05/23/2019
Att 4a_ Informed Consent
Gen IC 0920 0222 Validity Study Attach 4.doc
05/23/2019
Att 6_Thank You Letter
GenIC 0920 0222 Validity Study Attach 6.doc
05/23/2019
10-Day Letter
GenIC 0920 0222 Validity Study 10-day letter.doc
05/23/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.