Screener (Att. K-N )

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

OMB: 0920-0822

IC ID: 239167

Information Collection (IC) Details

View Information Collection (IC)

Screener (Att. K-N )
 
Yes Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0822 Att K_Web_Phone Screeners and Survey Instrument_English Att K_Web_Phone Screeners and Survey Instrument_English_REV1.10.23Clean.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0822 Att N_Paper Screener_Spanish Att N_Paper Screener_Spanish.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

48,667 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 48,667 0 0 0 0 48,667
Annual IC Time Burden (Hours) 4,056 0 0 0 0 4,056
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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