Information Collection

National Survey of Children's Health

IC 194339 under ICR 201008-0920-001 · OMB 0920-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Survey of Children's Health	Form
NSCH - survey Attachment 2 detailed 2011 NSCH interview.docx	Form
NSCH - screener Attachment 1 screener.docx	Form
Attachment 4 TEP member list 07_13_10.docx Attachment 4 - Technical Expert Panel	IC Document
Attachment 3 adv letters 07_13_10.doc Attachment 3 - Letters to households	IC Document
SLAITS 2011 SS Part A B NSCH 07_13_10.doc Supporting Statement	IC Document

IC Title:

National Survey of Children's Health

Agency IC Tracking Number:

IC Status: New

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	none	NSCH - survey	Attachment 2 detailed 2011 NSCH interview.docx		No	No	Fillable Fileable
Form	none	NSCH - screener	Attachment 1 screener.docx		No	No	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 US Population

FR Citation: 49 FR 37637

Number of Respondents: 602,206

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	602,206	0	0	0	0	0
Annual IC Time Burden (Hours)	47,607	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 4 - Technical Expert Panel	Attachment 4 TEP member list 07_13_10.docx	08/16/2010
Attachment 3 - Letters to households	Attachment 3 adv letters 07_13_10.doc	08/16/2010
Supporting Statement	SLAITS 2011 SS Part A B NSCH 07_13_10.doc	08/19/2010

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