Participant Telephone Interviews

The Hispanic Community Health Study/ Study of Latinos (HCHS/SOL)(NHLBI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0584 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Participant Telephone Interviews Form and Instruction
1 Recall Diet and Supplement Phone Script recall.doc Form and Instruction
2 Annual Follow-up Annual Follow-up_9-11-07.doc Form and Instruction
3 Informant Informant Phone Script_Follow-up.doc Form and Instruction
4 Interview Informant Interview_09-11-07.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Participant Telephone Interviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Recall	Diet and Supplement Phone Script recall.doc	Yes	Yes	Paper Only
Form and Instruction	2	Annual Follow-up	Annual Follow-up_9-11-07.doc	Yes	Yes	Paper Only
Form and Instruction	3	Informant	Informant Phone Script_Follow-up.doc	Yes	Yes	Paper Only
Form and Instruction	4	Interview	Informant Interview_09-11-07.doc	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,333	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,333	5,333
Annual IC Time Burden (Hours)	3,573	3,573
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.