Information Collection

Health Information National Trends Survey II (HINTS)

IC 181324 under ICR 200708-0925-001 · OMB 0925-0538.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0538 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Health Information National Trends Survey II (HINTS)	Form and Instruction
1 Survey HINTS 2007 CATI Instrument _07-05-07_.pdf	Form and Instruction
2 Survey HINTS 2007 CATI Screening Instrument _06-25-07_.pdf	Form and Instruction

IC Title:

Health Information National Trends Survey II (HINTS)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	1	Survey	HINTS 2007 CATI Instrument _07-05-07_.pdf		Yes	Yes	Paper Only
Form and Instruction	2	Survey	HINTS 2007 CATI Screening Instrument _06-25-07_.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,983

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	Previously Approved
Annual Number of Responses for this IC	2,983	2,983
Annual IC Time Burden (Hours)	248	248
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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