ACASI field interviews for NHIS

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 199758

Information Collection (IC) Details

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ACASI field interviews for NHIS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none ACASI field interviews Attach 1 ACASI Qs-final.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

50 0
   
Individuals or Households
 
   100 %

  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 50 0 0 0 0 0
Annual IC Time Burden (Hours) 55 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Field test observation form Attach 2- CAPI & ACASI Observation Form-final.doc 10/12/2011
Advance letter Attach 3 Advance Letter-final.pdf 10/12/2011
Letter to Dr. Schwab QDRL NHIS A-CASI 50 letter-final.doc 10/12/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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