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National Hypothesis Generating Questionnaire
Standardized National Hypothesis Generating Questionnaire
OMB: 0920-0997
IC ID: 223816
OMB.report
HHS/CDC
OMB 0920-0997
ICR 202001-0920-017
IC 223816
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0997 can be found here:
2023-06-27 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0997
National Hypothesis Generating Questionnaire
Form
0920-0997 Hypothesis Generating Questionnaire
Attach C NationalHypothesisGeneratingQuestionnaire_OMBsubmission.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Hypothesis Generating Questionnaire
Agency IC Tracking Number:
0920-0997
Is this a Common Form?
No
IC Status:
Modified
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
Form
0920-0997
Hypothesis Generating Questionnaire
Attach C NationalHypothesisGeneratingQuestionnaire_OMBsubmission.docx
Yes
Yes
Fillable Fileable
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:
4,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
4,000
0
0
0
0
4,000
Annual IC Time Burden (Hours)
3,000
0
0
0
0
3,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.