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National Center for Health Statistics (NCHS) Data Detectives Camp
Youth Outreach Generic Clearance for the National Center for Health Statistics (NCHS)
OMB: 0920-1185
IC ID: 227060
OMB.report
HHS/CDC
OMB 0920-1185
ICR 202004-0920-023
IC 227060
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1185 can be found here:
2023-01-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Att B Parent App 040317.docx
Other-Web-based
Att C Student App 040317.docx
Other-Web-based
Att D Teacher Form 040317.docx
Other-WORD
Att E Registration Form 040317.docx
Other-WORD
Att E Registration Form 040317.docx
Other-WORD
Att G Student Eval Form 040317.docx
Other-WORD
Att A Camp Brochure 040317.docx
Att A_NCHS Data Detective Camp Brochure
IC Document
Supporting Statement A 040317.docx
Supporting Statement A
IC Document
Att H Human Subject Research Determination.pdf
Att H_ NCHS IRB Determination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Center for Health Statistics (NCHS) Data Detectives Camp
Agency IC Tracking Number:
0920-17ACR
IC Status:
Unchanged
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-Web-based
Att B Parent App 040317.docx
Yes
Yes
Fillable Fileable
Other-Web-based
Att C Student App 040317.docx
Yes
Yes
Fillable Fileable
Other-WORD
Att D Teacher Form 040317.docx
No
Paper Only
Other-WORD
Att E Registration Form 040317.docx
No
Paper Only
Other-WORD
Att E Registration Form 040317.docx
Yes
Yes
Fillable Printable
Other-WORD
Att G Student Eval Form 040317.docx
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:
690
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
90 %
Requested
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
690
0
0
0
0
690
Annual IC Time Burden (Hours)
275
0
0
0
0
275
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att A_NCHS Data Detective Camp Brochure
Att A Camp Brochure 040317.docx
05/31/2017
Supporting Statement A
Supporting Statement A 040317.docx
05/31/2017
Att H_ NCHS IRB Determination
Att H Human Subject Research Determination.pdf
05/31/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.