Information Collection

Child Cancer--Line 8

IC 186084 under ICR 200910-0920-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 8 Child Cancer--Line 8	Form and Instruction
8 Child Cancer--Line 8 NHIS 2010 Attachment 3g Child Cancer (1 minute).pdf	Form and Instruction
Attachment3 Cover.doc Cover Page for NIS Child Immunization	IC Document

IC Title:

Child Cancer--Line 8

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8	Child Cancer--Line 8	NHIS 2010 Attachment 3g Child Cancer (1 minute).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 37693

Number of Respondents: 10,000

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	10,000	8,800	1,200
Annual IC Time Burden (Hours)	167	67	100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Page for NIS Child Immunization	Attachment3 Cover.doc	08/07/2008

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