NSFG Life History Calendar Evaluation

Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 238942

Information Collection (IC) Details

View Information Collection (IC)

NSFG Life History Calendar Evaluation 0920-20EH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222 Attachment 1a: Questions to be cognitively tested Att 1a-NSFG LHC Questions.doc Yes Yes Fillable Printable
Form and Instruction 0920-0222 Attachment 1b - Life History Calendar Worksheet (Recall Aide) Att 1b-NSFG LHC-Recall Aide.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-0222 Attachment 3a – Telephone Screening Script – Respondent recruited from newspaper advertisement/flyer Att 3a-NSFG LHC-Screener adv&flyer.doc Yes Yes Fillable Fileable
Form and Instruction 0920-0222 Attachment 3b – Telephone Screening Script – Respondent recruited from CCQDER Respondent Database Att 3b-NSFG LHC-Screener adv&flyer.doc Yes Yes Fillable Fileable
Form and Instruction 0920-0222 Attachment 5: Respondent Data Collection Sheet Att 5-NSFG LHC Resp Data Collect.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

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

120 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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 36 0 36 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10 Day Letter NSFG LHC 10-Day Letter 121219.docx 12/16/2019
Attachment 2: Advertisement/flyer. Att 2-NSFG LHC Ad&Flyer.doc 12/16/2019
Attachment 4 – Adult Informed Consent Att 4-NSFG LHC Consent.doc 12/16/2019
Attachment 6 – Thank you letter Att 6-NSFG LHC ThankYou ltr.doc 12/16/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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