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[NCHS] BMI Focus Groups
[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research
OMB: 0920-0222
IC ID: 271058
OMB.report
HHS/CDC
OMB 0920-0222
ICR 202504-0920-019
IC 271058
( )
Documents and Forms
Document Name
Document Type
Form 0920-24IT
[NCHS] BMI Focus Groups
Form
0920-24IT Respondent Data Collection
Attachment 3 - Respondent Data Collection Sheet.docx
Form
0920-24IT Respondent Informed Consent
Attachment 2 - Informed Consent CLEAN 9.5.24.docx
Form
Attachment 4 - CCQDER Data Retention Policy.docx
CCQDER Data Retention Policy
IC Document
Supporting Statement A Growth Chart Focus Groups- 8.28.24.docx
SSA
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCHS] BMI Focus Groups
Agency IC Tracking Number:
0920-0222-24IT
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-24IT
Respondent Data Collection
Attachment 3 - Respondent Data Collection Sheet.docx
Yes
Yes
Fillable Fileable
Form
0920-24IT
Respondent Informed Consent
Attachment 2 - Informed Consent CLEAN 9.5.24.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
40
0
0
0
0
40
Annual IC Time Burden (Hours)
60
0
0
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CCQDER Data Retention Policy
Attachment 4 - CCQDER Data Retention Policy.docx
09/19/2024
SSA
Supporting Statement A Growth Chart Focus Groups- 8.28.24.docx
09/19/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.