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Federal forms, ICRs, and supporting documents

Information Collection

Knowledge, Attitudes, and Practices Individual Questionnaire

IC 234595 under ICR 202204-0920-005 · OMB 0920-1254.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 0920-18ANU
Knowledge, Attitudes, and Practices Individual Questionnaire		 Form and Instruction
0920-18ANU KAP Adult
6. EN Paper Questionnaire - KAP Adult.docx 		Form and Instruction
0920-18ANU KAP Adult
6. EN Paper Questionnaire - KAP Adult.docx 		Form and Instruction
0920-18ANU KAP Older Child
6. EN Paper Questionnaire - KAP Older Child.docx 		Form and Instruction
0920-18ANU KAP Older Child
6. EN Paper Questionnaire - KAP Older Child.docx 		Form and Instruction
0920-18ANU KAP Younger Child
6. EN Paper Questionnaire - KAP Younger Child.docx 		Form and Instruction
0920-18ANU KAP Younger Child
6. EN Paper Questionnaire - KAP Younger Child.docx 		Form and Instruction
0920-18ANU Spanish KAP Adult
6. ES Paper Questionnaire - KAP Adult.docx 		Form and Instruction
0920-18ANU Spanish KAP Adult
6. ES Paper Questionnaire - KAP Adult.docx 		Form and Instruction
0920-18ANU Spanish KAP Older Child
6. ES Paper Questionnaire - KAP Older Child.docx 		Form and Instruction
0920-18ANU Spanish KAP Older Child
6. ES Paper Questionnaire - KAP Older Child.docx 		Form and Instruction
0920-18ANU Spanish KAP Younger Child
6. ES Paper Questionnaire - KAP Younger Child.docx 		Form and Instruction
0920-18ANU Spanish KAP Younger Child
6. ES Paper Questionnaire - KAP Younger Child.docx 		Form and Instruction
0920-18ANU Year Two Combined Questionnaire
6. Attachment_6 EN ES Y2 Paper Questionnaire - COMBINED 03.25.2019.pdf 		Form and Instruction
0920-18ANU Year Two Combined Questionnaire
6. Attachment_6 EN ES Y2 Paper Questionnaire - COMBINED 03.25.2019.pdf 		Form and Instruction
0920-1254 Knowledge, Attitudes and Practices (KAP) Questionnaire -
Attachment 3_COPA Data Collection Instruments_combined 07APR2022.pdf 		Form and Instruction
0920-1254 Knowledge, Attitudes and Practices (KAP) Questionnaire -
Attachment 3_COPA Data Collection Instruments_combined 07APR2022.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-18ANU KAP Adult 6. EN Paper Questionnaire - KAP Adult.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU KAP Older Child 6. EN Paper Questionnaire - KAP Older Child.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU KAP Younger Child 6. EN Paper Questionnaire - KAP Younger Child.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU Spanish KAP Adult 6. ES Paper Questionnaire - KAP Adult.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU Spanish KAP Older Child 6. ES Paper Questionnaire - KAP Older Child.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU Spanish KAP Younger Child 6. ES Paper Questionnaire - KAP Younger Child.docx na No   Fillable Fileable
Form and Instruction 0920-18ANU Year Two Combined Questionnaire 6. Attachment_6 EN ES Y2 Paper Questionnaire - COMBINED 03.25.2019.pdf NA No   Fillable Fileable
Form and Instruction 0920-1254 Knowledge, Attitudes and Practices (KAP) Questionnaire - Data Collection Instruments (combined English/Spanish) Attachment 3_COPA Data Collection Instruments_combined 07APR2022.pdf NA No   Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,090 0 -910 0 4,000 0
Annual IC Time Burden (Hours) 773 0 -227 0 1,000 0
Annual IC Cost Burden (Dollars) 6,571 0 -679 0 7,250 0

Documents for IC
table that charts IC Documents
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.