[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

ICR 202504-0920-019

OMB: 0920-0222

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-0222 (25BG) [NCHS] 2024 NHIS Diabetes Form and Instruction	Unchanged
[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11 Form and Instruction	Modified
Form 0920-24IT [NCHS] BMI Focus Groups Form	Unchanged
Form 0920-0222 CCQDER - Questions on Subjective Cognitive Decline Form and Instruction	Unchanged
Form 0920-0222 [NCHS] genIC Attention Deficient Hyperactivity Disorder Questions Form and Instruction	Unchanged
[NCHS] Point of Care Checklist Subproject 1: Conducting In-depth Interviews Among Those with Intellectual and Developmental Disabilities Form and Instruction	Unchanged
[NCHS] Evaluation of Revised Questions on Cannabis Use and Experiences Form and Instruction	Unchanged
Form 0920-0222 [NCHS] RANDS 10 and Accompanying Cognitive Interviews (24CL) Form	Unchanged
Form 0920-24BI [NCHS]CCQDER's NHANES Feeding Practices Form and Instruction	Unchanged
Form 0920-0222 [NCHS] CCQDER - NISVS Form and Instruction	Unchanged
Form 1 GenIC for CCQDER's RANDS 9 Form and Instruction	Unchanged
Form 0920-0222-23EQ [NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH Form and Instruction	Unchanged
[NCHS] CCQDER's Caregiver Form and Instruction	Unchanged
Form 0920-0222-23EC [NCHS] Collaborating Center For Questionnaire Design and Evaluation Research Form and Instruction	Unchanged
Change Request Memo - EO14168 - 0920-0222 (RANDS 11).docx Justification for No Material/Nonsubstantive Change	2025-04-22
Att B 60-Day Published FRN 9_30_2022.pdf Supplementary Document	2022-12-14
SSB_0222_12012022.docx Supporting Statement B	2022-12-02
SSA_0222-12012022.docx Supporting Statement A	2022-12-02
Att O Thank You Letter.docx Supplementary Document	2021-08-03
Att N Explain Cog Interview.docx Supplementary Document	2021-08-03
Att M Sample Resp Data Collect Sheet.docx Supplementary Document	2021-08-03
Att L Sample Advance Letter.docx Supplementary Document	2021-08-03
Att K Voice mail script.docx Supplementary Document	2021-08-03
Att J Sample newspaper adv.docx Supplementary Document	2021-08-03
Att I Sample flyer.docx Supplementary Document	2021-08-03
Att H-1&H-2 IRB Approval Documentation.docx Supplementary Document	2021-08-03
Att G Spec Consent Focus Group.docx Supplementary Document	2021-08-03
Att F Spec Consent Cog Int.docx Supplementary Document	2021-08-03
Att E Informed Consent.docx Supplementary Document	2021-08-03
Att D Screening Script.docx Supplementary Document	2021-08-03
Att C Nondisclosure Affidavit.docx Supplementary Document	2021-08-03
Att A Public Health Serv Act.docx Supplementary Document	2021-08-03

IC Document Collections

IC ID	Document Title	Status
272342	[NCHS] 2024 NHIS Diabetes Form and Instruction	Unchanged
272296	[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11 Form and Instruction	Modified
271058	[NCHS] BMI Focus Groups Form	Unchanged
269389	CCQDER - Questions on Subjective Cognitive Decline Form and Instruction	Unchanged
266008	[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions Form and Instruction	Unchanged
265792	[NCHS] Point of Care Checklist Subproject 1: Conducting In-depth Interviews Among Those with Intellectual and Developmental Disabilities Form and Instruction	Unchanged
264921	[NCHS] Evaluation of Revised Questions on Cannabis Use and Experiences Form and Instruction	Unchanged
264723	[NCHS] RANDS 10 and Accompanying Cognitive Interviews (24CL) Form	Unchanged
264394	[NCHS]CCQDER's NHANES Feeding Practices Form and Instruction	Unchanged
263924	[NCHS] CCQDER - NISVS Form and Instruction	Unchanged
262818	GenIC for CCQDER's RANDS 9 Form and Instruction	Unchanged
260045	[NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH Form and Instruction	Unchanged
260017	[NCHS] CCQDER's Caregiver Form and Instruction	Unchanged
259654	[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research Form and Instruction	Unchanged