Phase 3 - ABS, web screener

[NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS)

OMB: 0920-0822

IC ID: 239165

Information Collection (IC) Details

View Information Collection (IC)

Phase 3 - ABS, web screener
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none ABS Web screener and survey - English Att F.1_NISVS Web Screener and Survey English_CLEAN.docx Yes Yes Fillable Fileable
Form and Instruction none ABS Web screener and survey - Spanish Att F.1_NISVS Web Screener and Survey Spanish_CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

278 0
   
Individuals or Households
 
   100 %

  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 278 0 0 0 0 278
Annual IC Time Burden (Hours) 14 0 0 0 0 14
Annual IC Cost Burden (Dollars) 0 0 -367 0 0 367

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

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