Phase 2 - ABS, paper screener, Roster method

The National Intimate Partner and Sexual Violence Survey (NISVS)

OMB: 0920-0822

IC ID: 230016

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Information Collection (IC) Details

View Information Collection (IC)

Phase 2 - ABS, paper screener, Roster method
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Paper screener using Roster Method AttE.4a_Paper Screener Using Roster Method.docx No   Paper Only

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

389 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 0 0 -389 0 0 389
Annual IC Time Burden (Hours) 0 0 -19 0 0 19
Annual IC Cost Burden (Dollars) 0 0 -514 0 0 514

Title Document Date Uploaded
Description of Program Changes/Adjustments Att A. Description of Program Changes and Adjustments OMB_CDC revision_CLEAN 6.10.19.docx 06/14/2019
Cognitive Testing Plan Att F. Cognitive Testing Plan.docx 06/14/2019
Cognitive Testing Recruitment Ad Att G. Cog Testing Recruitment Ad.docx 06/14/2019
Web-based Recruitment Screener Att H. Recruiting Screener.docx 06/14/2019
Cognitive Testing Informed Consent Att I. Cog Testing Informed Consent.docx 06/14/2019
CATI Instrument Cognitive Testing Protocol Att J. CATI Instrument Cog Testing Protocol.docx 06/14/2019
PAPER Instrument Cognitive Testing Protocol Att K. Paper Instrument Cog Testing Protocol.docx 06/14/2019
WEB-BASED Instrument Cognitive Testing Protocol Att L. Web-based Instrument Cog Testing Protocol.docx 06/14/2019
Crosswalk of NISVS Instrument Revisions Att. B Crosswalk of NISVS Instrument Revisions for OMB_CDC revision_CLEAN_6.6.19.docx 06/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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