Information Collection

General Population

IC 186436 under ICR 200809-0990-001 · OMB 0990-0335.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0335 can be found here:

Documents and Forms

Document Name Document Type
0990-Trends in the usAttachment F-1_General Pop Questionnaire.docm Other-Questionnaire
0990-Trends in the USAttachment F-3_Spanish Gen_Pop Questionnaire.docm Other-Questionnaire
0990-Trends in the USAttachment P-1_NewItems_GP.docm 0990-Trends in the USAttachment P-1_NewItems_GP IC Document
0990-Trends in the USAttachment E-1_Crosswalk of Revisions_general population.docm 0990-Trends in the USAttachment E-1_Crosswalk of Revisions_general population IC Document
0990-Trends in the USAttachment L_researchQuestions_Analysis.docm 0990-Trends in the USAttachment L_researchQuestions_Analysis IC Document
0990-Trends in the USAttachment O_PowerPrecision.docm 0990-Trends in the USAttachment O_PowerPrecision IC Document
0990-Trends in the USAttachment N_FAQ.doc 0990-Trends in the USAttachment N_FAQ IC Document
0990-Trends in the USAttachment D_KFF Instrument.pdf 0990-Trends in the USAttachment D_KFF Instrument IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Population	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			0990-Trends in the usAttachment F-1_General Pop Questionnaire.docm		No	No	Paper Only
Other-Questionnaire			0990-Trends in the USAttachment F-3_Spanish Gen_Pop Questionnaire.docm		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,100	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	4,100	4,100
Annual IC Time Burden (Hours)	957	957
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0990-Trends in the USAttachment P-1_NewItems_GP	0990-Trends in the USAttachment P-1_NewItems_GP.docm	08/08/2008
0990-Trends in the USAttachment E-1_Crosswalk of Revisions_general population	0990-Trends in the USAttachment E-1_Crosswalk of Revisions_general population.docm	08/08/2008
0990-Trends in the USAttachment L_researchQuestions_Analysis	0990-Trends in the USAttachment L_researchQuestions_Analysis.docm	08/08/2008
0990-Trends in the USAttachment O_PowerPrecision	0990-Trends in the USAttachment O_PowerPrecision.docm	08/08/2008
0990-Trends in the USAttachment N_FAQ	0990-Trends in the USAttachment N_FAQ.doc	08/08/2008
0990-Trends in the USAttachment D_KFF Instrument	0990-Trends in the USAttachment D_KFF Instrument.pdf	08/08/2008

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