Measuring Trust in Official Statistics and Complementary and Alternative Medicine for NHIS

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⚠️ Notice: This information collection may be referencing outdated material.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
Measuring Trust in Official Statistics and Complementary and Alternative Medicine for NHIS Form
Measuring Trust - questions Measuring Trust Attachment 2.docx Form
CAM - interview guide CAM Attachment 2.docx Form
Measuring Trust Attachment 1.docx Measuring Trust - advertisement IC Document
Measuring Trust QDRL OMB-10-day letter.doc Measuring Trust - justification IC Document
CAM Attachment 1.docx CAM - advertisement IC Document
CAM QDRL OMB-10-day letter.doc CAM - justification IC Document
QDRL-OMB-10-day combo letter 070610.doc Letter to OMB IC Document

Information Collection (IC) Details

IC Title:	Measuring Trust in Official Statistics and Complementary and Alternative Medicine for NHIS	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	Measuring Trust - questions	Measuring Trust Attachment 2.docx		No	No	Paper Only
Form	none	CAM - interview guide	CAM Attachment 2.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 0920-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population	FR Citation: 49 FR 37693

Number of Respondents: 80	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	80	0	0	0	0	0
Annual IC Time Burden (Hours)	80	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Measuring Trust - advertisement	Measuring Trust Attachment 1.docx	07/07/2010
Measuring Trust - justification	Measuring Trust QDRL OMB-10-day letter.doc	07/07/2010
CAM - advertisement	CAM Attachment 1.docx	07/07/2010
CAM - justification	CAM QDRL OMB-10-day letter.doc	07/07/2010
Letter to OMB	QDRL-OMB-10-day combo letter 070610.doc	07/07/2010

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