Information Collection

NHIS 2007 Adult Core Questionnaire

IC 45689 under ICR 200808-0920-005 · OMB 0920-0214.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0214 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Not Assigned NHIS 2007 Adult Core Questionnaire	Form and Instruction
Not Assigned Adult Identification 01-AID.doc	Form and Instruction
Not Assigned Adult Health Behaviors 05-AHB.doc	Form and Instruction
Not Assigned Adult Health Status and Limitations 04-AHS.doc	Form and Instruction
Not Assigned Adult Socio-Demographic 02-ASD.doc	Form and Instruction
Not Assigned Adult Conditions 03-ACN.doc	Form and Instruction
Not Assigned Adult Access to Health Care and Utilization 06-AAU.doc	Form and Instruction
Not Assigned Adult AIDS Knowledge and Attitudes 07-ADS.doc	Form and Instruction

IC Title:

NHIS 2007 Adult Core Questionnaire

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Not Assigned	Adult Identification	01-AID.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Health Behaviors	05-AHB.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Health Status and Limitations	04-AHS.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Socio-Demographic	02-ASD.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Conditions	03-ACN.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Access to Health Care and Utilization	06-AAU.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult AIDS Knowledge and Attitudes	07-ADS.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probability Samples of the US Population

FR Citation: 49 FR 37693

Number of Respondents: 23,400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	23,400	-8,600	32,000
Annual IC Time Burden (Hours)	6,630	-2,970	9,600
Annual IC Cost Burden (Dollars)	0	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.