[NCHS] BMI Focus Groups

[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

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

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

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	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.