National Health Interview Survey: Basic Module with 2005 Topical Modules

ICR 200601-0920-011

OMB: 0920-0214

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0214 200601-0920-011
Historical Active 200510-0920-006
HHS/CDC
National Health Interview Survey: Basic Module with 2005 Topical Modules
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/20/2006
Retrieve Notice of Action (NOA) 01/20/2006
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007 12/31/2007
43,417 0 42,250
36,821 0 36,587
0 0 0

The National Health Interview Survey (NHIS) is a multipurpose survey conducted to comply with the National Center for Health Statistics (NCHS) mandate under 42 USC 242K to secure statistical information on the amount, distribution, and effects of illness and disability in the United States and the service rendered for or because of such conditions.

None
None


No

1
IC Title Form No. Form Name
National Health Interview Survey: Basic Module with 2005 Topical Modules

  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 43,417 42,250 0 1,167 0 0
Annual Time Burden (Hours) 36,821 36,587 0 234 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.
01/20/2006


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