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Federal forms, ICRs, and supporting documents

Information Collection

NSCH "Healthy and Ready to Learn" Questions 2020 (Self-administered/English)

IC 244069 under ICR 201807-0920-004 · OMB 0920-0222.

Documents and Forms
Document Name
Document Type
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Other-WORD
Other-WORD
Other-WORD
IC Document
IC Document
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Information Collection (IC) Details

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NSCH "Healthy and Ready to Learn" Questions 2020 (Self-administered/English) 0920-0222-20SK
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 1 Healthy&Ready 2Learn Questionnaire.docx Yes Yes Fillable Fileable
Other-WORD Att 3ab Healthy&Ready 2Learn Telephone Screener.docx No   Paper Only
Other-WORD Att 2 Healthy&Ready 2Learn AdFlyer.docx No   Paper Only
Other-WORD Att 5ab Healthy&Ready 2Learn Respondent Data Collection Sheet.docx No   Paper Only
Other-WORD Att 7 Healthy&Ready 2Learn Follow-up Interview.docx No   Paper Only

Health Public Health Monitoring

 

305 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 305 0 305 0 0 0
Annual IC Time Burden (Hours) 93 0 93 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10-Day Letter (Request for Approval) 0920-0222 10-day letter-HealthyReady 2Learn 9.28.2020.docx 10/14/2020
Att 4ab Healthy&Ready 2Learn Informed Consent Att 4ab Healthy&Ready 2Learn Informed Consent.docx 10/14/2020
Att 6 Healthy&Ready 2Learn Thank You Letter Att 6 Healthy&Ready 2Learn Thank You Letter.docx 10/14/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.