National Health Interview Survey

ICR 201109-0920-003

OMB: 0920-0214

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2011-10-20
Justification for No Material/Nonsubstantive Change
2011-10-20
Supplementary Document
2011-08-31
Justification for No Material/Nonsubstantive Change
2011-08-31
Supplementary Document
2008-08-07
ICR Details
0920-0214 201109-0920-003
Historical Active 201107-0920-008
HHS/CDC
National Health Interview Survey
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/25/2011
Retrieve Notice of Action (NOA) 09/12/2011
NHIS can continue to submit re-introduction of modules used in the past (and thus have gone through the public comment process in the past) as non-substantive changes. However, please remember that any new modules must be submitted as substantive changes.
  Inventory as of this Action Requested Previously Approved
08/31/2014 08/31/2014 08/31/2014
212,940 0 212,940
55,343 0 55,343
0 0 0

The annual NCHS National Health Interview Survey (NHIS) is a major source of general statistics on the health of the U.S. population and has been in the field every year since 1957. This household-based survey collects demographic and health-related information on a nationally representative sample of households throughout the country. This change request is to cycle out fitness center use questions and cycle in questions on several topics for 2012.

PL: Pub.L. 111 - 148 1 Name of Law: The Patient Protection and Affordable Care Act
   PL: Pub.L. 104 - 170 136 Name of Law: The Food Quality Protection Act of 1996
   US Code: 42 USC 242 Name of Law: Public Health Service Act
   PL: Pub.L. 101 - 445 301 Name of Law: The National Nutrition Monitoring and Related Research Act of 1990
   US Code: 42 USC 306 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

Yes

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 212,940 212,940 0 0 0 0
Annual Time Burden (Hours) 55,343 55,343 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$31,000,000
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Daniel Holcomb 770 488-4472 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/12/2011


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