Information Collection

National Hypothesis Generating Questionnaire

IC 223816 under ICR 202306-0920-011 · OMB 0920-0997.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Hypothesis Generating Questionnaire	Form
Hypothesis Generating Questionnaire Attachment 2- Information Collection Instrument.pdf	Form
Hypothesis Generating Questionnaire Attachment 2- Information Collection Instrument.pdf	Form

IC Title:

Agency IC Tracking Number:

0920-0997

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	n/a	Hypothesis Generating Questionnaire	Attachment 2- Information Collection Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	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.