CCQDER - Questions on Subjective Cognitive Decline

[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 269389

Documents and Forms

Document Name Document Type
Form 0920-0222 CCQDER - Questions on Subjective Cognitive Decline Form and Instruction
0920-0222 Cognitive Decline - Screening Script Attachment 4 - Screening Script CD- Clean 7.12.24.docx Form and Instruction
0920-0222 Questions to be Cognitively Tested Attachment 1 Questions CD.docx Form and Instruction
0920-0222 Respondent Data Collection Sheet Attachment 6ab - (In Person & Virtual) Respondent Data Collection Sheet- CLEAN 7.12.24.docx Form and Instruction
Attachment 2- Purpose and Development of Questions CD- Clean 6.12.24.docx Purpose and Development of Cognitive Decline Questions IC Document
Attachment 3ab- Suspected and Diagnosed Cog Decline Advertisements CD 6.5.24.docx Suspected and Diagnosed Cognitive Decline Advertisements IC Document
Attachment 5ab - (In Person & Virutal) - Informed Consent Forms CD 6.5.24.docx Informed Consent Forms IC Document
Attachment 7 Thank You Letter.docx Thank You Letter IC Document
Attachment 8 Data Retention Policy.docx Data Retention Policy IC Document
Attachment 9 NCHS Non-Disclosure Affidavit- Clean 6.12.24.docx Non-Disclosure Affidavit IC Document
Attachment 10- Distress Guide.docx Distress Guide IC Document
Attachment 11- 7500 Exempt Research Approval Letter.pdf Exempt Research Determination IC Document
Supporting Statement A CD 7.8.24 FINAL.docx Supporting Statement A / GenIC Template IC Document