Participants Follow-up Year 3 to 6

The Hispanic Community Health Study/ Study of Latinos (HCHS/SOL)(NHLBI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0584 can be found here:

Documents and Forms

Document Name Document Type
Form 3 Participants Follow-up Year 3 to 6 Form and Instruction
3 Interview Interview Form Contact Yr3_English.doc Form and Instruction
4 Interview Interview Form Contact Yr4_English.doc Form and Instruction
5 Interview Interview Form Contact Yr 5_English.doc Form and Instruction
6 Interview Interview Form Contact Yr6_English.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Participants Follow-up Year 3 to 6	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Interview	Interview Form Contact Yr3_English.doc	Yes	Yes	Fillable Fileable
Form and Instruction	4	Interview	Interview Form Contact Yr4_English.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5	Interview	Interview Form Contact Yr 5_English.doc	Yes	Yes	Fillable Fileable
Form and Instruction	6	Interview	Interview Form Contact Yr6_English.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,334	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,334	9,334
Annual IC Time Burden (Hours)	2,334	2,334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.