NHIS Voice, Swallowing, Speech, Language and NHANES Creatine and Lifestyle Questions

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Document Name Document Type
NHIS Voice, Swallowing, Speech, Language and NHANES Creatine and Lifestyle Questions Form
NHIS Voice, Swallowing, Speech and Language NHIS & NHANES-attachment 2-v2.doc Form
QDRL OMB-10-day letter-NHIS Voice Swallowing Speech Langv2.doc Letter of proposal IC Document
NHIS & NHANES attachment 1.doc Attachment 1 - Advertisement/flyer IC Document

Information Collection (IC) Details

IC Title:	NHIS Voice, Swallowing, Speech, Language and NHANES Creatine and Lifestyle Questions	Agency IC Tracking Number:

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
Form	none	NHIS Voice, Swallowing, Speech and Language	NHIS & NHANES-attachment 2-v2.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	20	0	0	0	0	0
Annual IC Time Burden (Hours)	20	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of proposal	QDRL OMB-10-day letter-NHIS Voice Swallowing Speech Langv2.doc	04/26/2010
Attachment 1 - Advertisement/flyer	NHIS & NHANES attachment 1.doc	04/26/2010

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