[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11

[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 272296

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Form and Instruction
Form and Instruction
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IC Document
IC Document
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[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11 0920-25-0099
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a RANDS 11 Questionnaire-12.10.2024 0920-0222 Attachment 1 - RANDS 11 Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

18,600 0
   
Individuals or Households
 
   90 %

  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 18,600 0 0 0 0 18,600
Annual IC Time Burden (Hours) 6,200 0 0 0 0 6,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NCHS Non-Disclosure Affidavit Attachment 3 - NCHS Non-Disclosure Affidavit.docx 11/12/2024
Research Determination Attachment 4-RANDS 11 IRB Approval.pdf 11/12/2024
SSA RANDS 11_Supporting Statement A 11.5.24.docx 11/12/2024
Previous Use and Development Attachment 2_Previous Use and Development-jk2_zs_clean.docx 12/10/2024
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