OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide

IC 263294 under ICR 202311-0920-006 · OMB 0920-1427.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide 0920-23AX
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-23AX Online Screener English Attachment 20. Online Screener English.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23AX Online Screener Spanish Attachment 21. Online Screener Spanish.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems #09-20-0136 , Department of Health and Human Services/CDC/National Center for Infectious Diseases. A privacy impact assessment  57 FR 62811

81 0
   
Individuals or Households
 
   0 %

  Approved 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 81 0 81 0 0 0
Annual IC Time Burden (Hours) 121 0 121 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 35. Screenshots of Screener – English_202310 Attachment 35. Screenshots of Screener – English_202310.docx 11/09/2023
Attachment 36. Screenshots of Screener – Spanish_202310 Attachment 36. Screenshots of Screener – Spanish_202310.docx 11/09/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.