Pretest Rounds 1-3 and Main Rounds 1-3 of the 1996 Household -- NMES-3

ICR 199604-0935-001

OMB: 0935-0098

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0935-0098 199604-0935-001
Historical Active 199506-0935-002
HHS/AHRQ
Pretest Rounds 1-3 and Main Rounds 1-3 of the 1996 Household -- NMES-3
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/03/1996
Retrieve Notice of Action (NOA) 04/03/1996
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 09/30/1998
71,656 0 1,981
100,241 0 39,067
0 0 0

This household survey will produce national estimates for health care use and expenditures and health insurance coverage. Respondents consist of persons living in a nationally representative subsample of households that participated in the 1995 National Health Inverview Survey (NHIS).

None
None


No

1
IC Title Form No. Form Name
Pretest Rounds 1-3 and Main Rounds 1-3 of the 1996 Household -- NMES-3

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 71,656 1,981 0 69,675 0 0
Annual Time Burden (Hours) 100,241 39,067 0 61,174 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/03/1996


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