Health Information National Trends Survey II (HINTS)

Health Information National Trends Survey 2007

⚠️ Notice: This information collection may be referencing outdated material.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

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,434	4,217	4,217
Annual IC Time Burden (Hours)	2,109	1,055	1,054
Annual IC Cost Burden (Dollars)	0	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.