[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

OMB 0920-0222

This generic clearance request encompasses general questionnaire development, pre-testing, measurement-error reduction activities to be carried out in 2018-2021 in the Division of Research and Methodology, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The revision requested consists of an increase in burden hours for the next 3-year approval period. The difference is due to an anticipated increase in the number and size of projects being undertaken.

The latest form for [NCHS] Collaborating Center for Questionnaire Design and Evaluation Research expires 2021-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0222-23EC [NCHS] Collaborating Center For Questionnaire Design and Evaluation Research Form and Instruction
Att B 60-Day Published FRN 9_30_2022.pdf Supplementary Document
SSB_0222_12012022.docx Supporting Statement B
SSA_0222-12012022.docx Supporting Statement A
Att O Thank You Letter.docx Supplementary Document
Att N Explain Cog Interview.docx Supplementary Document
Att M Sample Resp Data Collect Sheet.docx Supplementary Document
Att L Sample Advance Letter.docx Supplementary Document
Att K Voice mail script.docx Supplementary Document
Att J Sample newspaper adv.docx Supplementary Document
Att I Sample flyer.docx Supplementary Document
Att H-1&H-2 IRB Approval Documentation.docx Supplementary Document
Att G Spec Consent Focus Group.docx Supplementary Document
Att F Spec Consent Cog Int.docx Supplementary Document
Att E Informed Consent.docx Supplementary Document
Att D Screening Script.docx Supplementary Document
Att C Nondisclosure Affidavit.docx Supplementary Document
Att A Public Health Serv Act.docx Supplementary Document
[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research Form and Instruction

All Historical Document Collections

202212-0920-003 Approved without change	Revision of a currently approved collection	2022-12-21
202107-0920-010 Approved without change	Revision of a currently approved collection	2021-08-16
201807-0920-004 Approved without change	Revision of a currently approved collection	2018-07-27
201506-0920-003 Approved without change	Revision of a currently approved collection	2015-06-19
201205-0920-001 Approved without change	Revision of a currently approved collection	2012-05-10
201002-0920-006 Approved without change	Extension without change of a currently approved collection	2010-02-17
200902-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-02-10
200808-0920-004 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2008-08-07
200803-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-11
200802-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-02-01
200801-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-01-14
200711-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-11-15
200710-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-10-18
200612-0920-007 Approved without change	Revision of a currently approved collection	2006-12-21
200606-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-06-21
200604-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-04-19
200603-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-30
200603-0920-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-13
200603-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-09
200601-0920-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-01-20
200601-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-01-11
200601-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-01-10
200312-0920-001 Approved with change	Revision of a currently approved collection	2003-12-04
200012-0920-003 Approved without change	Revision of a currently approved collection	2000-12-12
199711-0920-001 Approved without change	Revision of a currently approved collection	1997-11-03
199409-0920-002 Approved without change	Revision of a currently approved collection	1994-09-26
199208-0920-004 Approved without change	Reinstatement with change of a previously approved collection	1992-08-17
199101-0920-003 Approved without change	Revision of a currently approved collection	1991-01-22
199001-0920-002 Approved without change	Extension without change of a currently approved collection	1990-01-25
198901-0920-001 Approved without change	Reinstatement with change of a previously approved collection	1989-01-23
198802-0920-016 Approved without change	Revision of a currently approved collection	1988-02-16
198801-0920-002 Approved without change	Revision of a currently approved collection	1988-01-22

OMB Details

PRAMS Opioid 2018 - English

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none	Telephone Screener	Fillable Printable	Form
Form none	Respondent Data Sheet	Fillable Printable	Form
Form none	PRAMS Opioid 2018	Fillable Printable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.