[NCHS] Youth Outreach - Data Detectives Camp

[NCHS] Youth Outreach Generic Clearance for the National Center for Health Statistics

Documents and Forms

Document Name Document Type
Form 0920-24CH [NCHS] Youth Outreach - Data Detectives Camp Form and Instruction
0920-24CH Att B Parent Application Form 1192024 Att B Parent Application Form 1192024.docx Form and Instruction
0920-24CH Att A Camper Application Form 1192024 Att A Camper Application Form 1192024.docx Form and Instruction
0920-24CH Att C Teacher Recommendation 1192024 Att C Teacher Recommendation 1192024.docx Form and Instruction
0920-24CH Att D Registration Form Att D Registration Form IN-PERSON 1192024.docx Form and Instruction
0920-24CH Att F Parent Eval Form 1192024 Att F Parent Eval Form 1192024.docx Form and Instruction
0920-24CH Att G Student Eval Form 1192024 Att G Student Eval Form 1192024.docx Form and Instruction
GenIC Supporting Statement 1192024.docx GenIC Supporting Statement 1192024 IC Document
Att H NCHS_2024_DataDetectiveCamp_Memo_HumanSubj_01_16_24.pdf Att H NCHS_2024_DataDetectiveCamp_Memo_HumanSubj_01_16_24 IC Document

Information Collection (IC) Details

IC Title:	[NCHS] Youth Outreach - Data Detectives Camp	Agency IC Tracking Number:	0920-1185-24CH

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-24CH	Att B Parent Application Form 1192024	Att B Parent Application Form 1192024.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CH	Att A Camper Application Form 1192024	Att A Camper Application Form 1192024.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CH	Att C Teacher Recommendation 1192024	Att C Teacher Recommendation 1192024.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CH	Att D Registration Form	Att D Registration Form IN-PERSON 1192024.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CH	Att F Parent Eval Form 1192024	Att F Parent Eval Form 1192024.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24CH	Att G Student Eval Form 1192024	Att G Student Eval Form 1192024.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,380	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,380	1,380
Annual IC Time Burden (Hours)	550	550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Supporting Statement 1192024	GenIC Supporting Statement 1192024.docx	01/26/2024
Att H NCHS_2024_DataDetectiveCamp_Memo_HumanSubj_01_16_24	Att H NCHS_2024_DataDetectiveCamp_Memo_HumanSubj_01_16_24.pdf	01/26/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.