Cognitive Test for ACS Disability Questions and NHIS Child Behavior Questions

Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 236115

Information Collection (IC) Details

View Information Collection (IC)

Cognitive Test for ACS Disability Questions and NHIS Child Behavior Questions 0920-19AYX
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Telephone Screener 0920-0222 Attach 3ab Telephone Screeners ACS & NHIS.doc No   Paper Only
Form and Instruction n/a ACS Booklet and Selected NHIS Questions Discussed During the Cognitive Interview 0920-0222 Attach 1 ACS Disability & NHIS Child Behavavior.pdf No   Paper Only
Form and Instruction n/a Respondent Data Collection Sheet (Demographics) 0920-0222 Attach 5 Resp Data ACS & NHIS.doc No   Paper Only

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population, SORN 09-20-0164  49 FR 37693

80 0
   
Individuals or Households
 
   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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 47 0 47 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Project Description and Justification 0920-0222 Justification Cognitive Testing ACS and NHIS Questions.doc 05/16/2019
Recruitment Materials 0920-0222 Attach 2ab Adsflyers ACS & NHIS.doc 05/16/2019
Informed Consent 0920-0222 Attach 4 Informed Consent ACS & NHIS Questions.doc 05/16/2019
Thank-you Letter 0920-0222 Attach 6 Thank You Letter ACS & NHIS.doc 05/16/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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