Data Detectives Camp

Youth Outreach Generic Clearance for the National Center for Health Statistics (NCHS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1185 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1185 Data Detectives Camp Form
0920-1185 Camper Application Form Att A Camper Application Form 07112020.docx Form
0920-0572 Parent Application Form Att B Parent Application Form 07132020.docx Form
0920-0572 Teacher Recommendation Att C Teacher Recommendation 07112020.docx Form
0920-0572 Registration Form IN-PERSON Att D Registration Form IN-PERSON 07112020.docx Form
0920-0572 Registration Form VIRTUAL Att E Registration Form VIRTUAL 07112020.docx Form
0920-0572 Parent Eval Form Att F Parent Eval Form 07132020.docx Form
0920-0572 Student Eval Form Att G Student Eval Form 07132020.docx Form
GenIC Supporting Statement 071320 Virtual.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Data Detectives Camp	Agency IC Tracking Number:	0920-1185-20QR

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-1185	Camper Application Form	Att A Camper Application Form 07112020.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Parent Application Form	Att B Parent Application Form 07132020.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Teacher Recommendation	Att C Teacher Recommendation 07112020.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Registration Form IN-PERSON	Att D Registration Form IN-PERSON 07112020.docx	No		Paper Only
Form	0920-0572	Registration Form VIRTUAL	Att E Registration Form VIRTUAL 07112020.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Parent Eval Form	Att F Parent Eval Form 07132020.docx	Yes	Yes	Fillable Fileable
Form	0920-0572	Student Eval Form	Att G Student Eval Form 07132020.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	GenIC Supporting Statement 071320 Virtual.docx	07/15/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.