Information Collection

Child Weight and Height Materials (CHIS-CCM 2009) (NCI)

IC 187240 under ICR 201102-0925-006 · OMB 0925-0598.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0598 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Child Weight and Height Materials (CHIS-CCM 2009) (NCI)	Form and Instruction
2 Child Weight and Height Materials Attachment5_CHIS2009_Subject_Contact_Materials - COMPLETE.pdf	Form and Instruction

IC Title:

Child Weight and Height Materials (CHIS-CCM 2009) (NCI)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	2	Child Weight and Height Materials	Attachment5_CHIS2009_Subject_Contact_Materials - COMPLETE.pdf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 640

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-640	640
Annual IC Time Burden (Hours)	-160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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