Information Collection

Hints 2007

IC 179785 under ICR 200704-0925-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 HINTS 2007	Form
1 J Appendix J - Extended Instrument.pdf	Form
2 I Appendix I - Screening Instrument.pdf	Form
Appendix M - Letters for Telephone Sample.pdf Appendix M - Letters for Telephone Sample	IC Document
Appendix N - Letters for Mail Sample.pdf Appendix N - Letters for Mail Sample	IC Document
Appendix B.pdf Appendix B	IC Document
Appendix C.pdf Appendix C	IC Document
Appendix D-revised.pdf Appendix D-revised	IC Document
Appendix G - Confidentiality Agreement.pdf Appendix G - Confidentiality Agreement	IC Document
Appendix H - IRB Exemption.pdf Appendix H - IRB Exemption	IC Document
Appendix O - Response Rates.pdf Appendix O - Response Rates	IC Document
Appendix P - Mode Effects.pdf Appendix P - Mode Effects	IC Document
Appendix Q - Statistical Consultants.pdf Appendix Q - Statistical Consultants	IC Document
Appendix E - External Consultants.pdf Appendix E - External Consultants	IC Document
Appendix K - Theoretical Framework.pdf Appendix K - Theoretical Framework	IC Document
Appendix L - Sample Design.pdf Appendix L - Sample Design	IC Document

IC Title:

HINTS 2007

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	J	Appendix J - Extended Instrument.pdf		Yes	Yes	Paper Only
Form	2	I	Appendix I - Screening Instrument.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,273

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,273	3,273
Annual IC Time Burden (Hours)	273	273
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix M - Letters for Telephone Sample	Appendix M - Letters for Telephone Sample.pdf
Appendix N - Letters for Mail Sample	Appendix N - Letters for Mail Sample.pdf
Appendix B	Appendix B.pdf
Appendix C	Appendix C.pdf
Appendix D-revised	Appendix D-revised.pdf
Appendix G - Confidentiality Agreement	Appendix G - Confidentiality Agreement.pdf
Appendix H - IRB Exemption	Appendix H - IRB Exemption.pdf
Appendix O - Response Rates	Appendix O - Response Rates.pdf
Appendix P - Mode Effects	Appendix P - Mode Effects.pdf
Appendix Q - Statistical Consultants	Appendix Q - Statistical Consultants.pdf
Appendix E - External Consultants	Appendix E - External Consultants.pdf
Appendix K - Theoretical Framework	Appendix K - Theoretical Framework.pdf
Appendix L - Sample Design	Appendix L - Sample Design.pdf

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