OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Survey of Community Based Policy and Environmental Supports for Healthy Eating and Active Living

OMB 0920-1327 · HHS/CDC.

OMB 0920-1327

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-20QJ Critical Item Survey Form and Instruction
Form 0920-20QJ Main Questionnaire Form and Instruction
Attachment 12 -Privacy impact assessment form.pdf Supplementary Document
Attachment 11_ Human subjects document non-research determination.pdf Supplementary Document
Attachment 10_Privacy Narrative.pdf Supplementary Document
Attachment 7 - Telephone contacting scripts.docx Supplementary Document
Attachment 6d_Last chance email.docx Supplementary Document
Attachment 6c_SAQ cover letter.docx Supplementary Document
Attachment 6b_Reminder email template.docx Supplementary Document
Attachment 6a_Email invitation.docx Supplementary Document
Attachment 5b - Frequently asked questions.docx Supplementary Document
Attachment 5a_Survey invitation letter.docx Supplementary Document
Attachment 4_Prenotification letter.docx Supplementary Document
Attachment 2a - 60-Day Federal Register Notice.pdf Supplementary Document
Attachment 1_Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document
OMB Supporting Statement B.docx Supporting Statement B
OMB Supporting Statement A final.docx Supporting Statement A
Critical Item Survey Form and Instruction
Main Questionnaire Form and Instruction

All Historical Document Collections

202101-0920-015

Approved without change

New collection (Request for a new OMB Control Number)

2021-01-29