National Hypothesis Generating Questionnaire

[NCEZID] Standardized National Hypothesis Generating Questionnaire

Documents and Forms

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

Information Collection (IC) Details

IC Title:	National Hypothesis Generating Questionnaire	Agency IC Tracking Number:	0920-0997

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.