Information Collection Request

Health Information National Trends Survey II (HINTS)

ICR 200712-0925-001 · OMB 0925-0538 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Health Information National Trends Survey II (HINTS) Form and Instruction Modified Available
Form 1 Health Information National Trends Survey II (HINTS) Form and Instruction Modified Available
Form 1 Health Information National Trends Survey II (HINTS) Form and Instruction Modified Available
Attachment C.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-12-03 Available
Attachment B.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-12-03 Available
Attachment A.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-12-03 Available
OMB Memo.pdf Justification for No Material/Nonsubstantive Change Uploaded 2007-12-03 Available
HINTS Mail Quex 2007 SHORT Version _7-5_combined.pdf Supplementary Document Uploaded 2007-07-25 Available
HINTS Mail Quex 2007 LONG Version _7-5_combined.pdf Supplementary Document Uploaded 2007-07-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7462 Health Information National Trends Survey II (HINTS) Form and Instruction Modified
181324 Health Information National Trends Survey II (HINTS) Form and Instruction Modified
181323 Health Information National Trends Survey II (HINTS) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008 02/29/2008
10,823 0 10,823
2,510 0 2,510
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Health Information National Trends Survey II (HINTS) 1, 1 Survey ,   Survey
Health Information National Trends Survey II (HINTS) 1, 2 Survey ,   Survey
Health Information National Trends Survey II (HINTS) 1, 2 Survey ,   Survey

table that charts list of burden
  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 10,823 10,823 0 0 0 0
Annual Time Burden (Hours) 2,510 2,510 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No