Information Collection

[NCHS] NCHS Data Detectives Camp 2023-2025

IC 258940 under ICR 202412-0920-001 · OMB 0920-1185.

Documents and Forms

Document Name Document Type
[NCHS] NCHS Data Detectives Camp 2023-2025 Form and Instruction
Camper Application Form Att A Camper Application Form 03032023.docx Form and Instruction
Camper Application Form Att A Camper Application Form 03032023.docx Form and Instruction
Parent Application Form Att B Parent Application Form 03032023.docx Form and Instruction
Parent Application Form Att B Parent Application Form 03032023.docx Form and Instruction
Teacher Recommendation Att C Teacher Recommendation 03032023.docx Form and Instruction
Teacher Recommendation Att C Teacher Recommendation 03032023.docx Form and Instruction
Camper Information/Registration Form (in-person) Att D Registration Form IN-PERSON 03032023.docx Form and Instruction
Camper Information/Registration Form (in-person) Att D Registration Form IN-PERSON 03032023.docx Form and Instruction
Camper Information/Registration Form (virtual) Att E Registration Form VIRTUAL 03032023.docx Form and Instruction
Camper Information/Registration Form (virtual) Att E Registration Form VIRTUAL 03032023.docx Form and Instruction
Parent Evaluation Form Att F Parent Eval Form 03032023.docx Form and Instruction
Parent Evaluation Form Att F Parent Eval Form 03032023.docx Form and Instruction
Student Evaluation Form Att G Student Eval Form 03032023.docx Form and Instruction
Student Evaluation Form Att G Student Eval Form 03032023.docx Form and Instruction
GenIC Supporting Statement 03092023v2.docx SSA (Project description and burden estimation) IC Document
GenIC Supporting Statement 03092023v2.docx SSA (Project description and burden estimation) IC Document
Att H NCHS_DataDetectiveCamp_Memo_HumanSubj_rev02_07_23_signed.pdf CDC Determination: IRB Approval is Not Required IC Document
Att H NCHS_DataDetectiveCamp_Memo_HumanSubj_rev02_07_23_signed.pdf CDC Determination: IRB Approval is Not Required IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NCHS] NCHS Data Detectives Camp 2023-2025	Agency IC Tracking Number:	0920-1185-23DG

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Camper Application Form	Att A Camper Application Form 03032023.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Parent Application Form	Att B Parent Application Form 03032023.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Teacher Recommendation	Att C Teacher Recommendation 03032023.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Camper Information/Registration Form (in-person)	Att D Registration Form IN-PERSON 03032023.docx	No		Paper Only
Form and Instruction	None	Camper Information/Registration Form (virtual)	Att E Registration Form VIRTUAL 03032023.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Parent Evaluation Form	Att F Parent Eval Form 03032023.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	Student Evaluation Form	Att G Student Eval Form 03032023.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: 09-20-0169, Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 2,140	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,140	2,140
Annual IC Time Burden (Hours)	853	853
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA (Project description and burden estimation)	GenIC Supporting Statement 03092023v2.docx	03/09/2023
CDC Determination: IRB Approval is Not Required	Att H NCHS_DataDetectiveCamp_Memo_HumanSubj_rev02_07_23_signed.pdf	03/09/2023

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