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Federal forms, ICRs, and supporting documents

Information Collection

GenIC for CCQDER's RANDS 9

IC 262818 under ICR 202504-0920-019 · OMB 0920-0222.

Documents and Forms
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Information Collection (IC) Details

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GenIC for CCQDER's RANDS 9 0920-0222-23IG
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 qustionnaire Attachment 1 - RANDS 9 Questionnaire_FINAL 11 02 2023.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

49,800 0
   
Individuals or Households
 
   100 %

  Requested 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 49,800 0 0 0 0 49,800
Annual IC Time Burden (Hours) 12,450 0 0 0 0 12,450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 2 - NCHS Non-Disclosure Affidavit for NORC_RANDS 9 Attachment 2 - NCHS Non-Disclosure Affidavit for NORC_RANDS 9.docx 10/16/2023
Attachment 3 - NORC CIPESA Protection Plan_RANDS 9 Attachment 3 - NORC CIPESA Protection Plan_RANDS 9.docx 10/16/2023
Attachment 4 – Comparison of Topics between RANDS 8 & 9 Attachment 4 – Comparison of Topics between RANDS 8 & 9.docx 10/16/2023
SSB SSB-RANDS 9_9.24.23.docx 10/16/2023
SSA for RANDS 9 SSA-RANDS 9_REVISED_11 02 2023_FINAL_amb.docx 11/03/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.