Health Information National Trends Survey II (HINTS)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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
1 Survey HINTS 2007 CATI Screening Instrument _06-25-07_.pdf Form and Instruction
HINTS Mail Quex 2007 LONG Version _7-5_combined.pdf HINTS Mail Quex 2007 LONG Version _7-5_combined IC Document
HINTS Mail Quex 2007 SHORT Version _7-5_combined.pdf HINTS Mail Quex 2007 SHORT Version _7-5_combined IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

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	1	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: 4,217	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,217	4,217
Annual IC Time Burden (Hours)	1,054	1,054
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HINTS Mail Quex 2007 LONG Version _7-5_combined	HINTS Mail Quex 2007 LONG Version _7-5_combined.pdf	07/25/2007
HINTS Mail Quex 2007 SHORT Version _7-5_combined	HINTS Mail Quex 2007 SHORT Version _7-5_combined.pdf	07/25/2007

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