Questionnaire Design Research Lab: 5600 Case CAPI and ACASI NHIS Field Test

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 202862

Information Collection (IC) Details

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Questionnaire Design Research Lab: 5600 Case CAPI and ACASI NHIS Field Test
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Proposed ACASI Questions QDRL NHIS 5600 Attach 1- 05172012.docx Yes Yes Fillable Fileable
Form and Instruction none HIS-100C, January 2011 Manual for NHIS Field Reps Explaning the Survey QDRL NHIS 5600 Attach 2 - 0213 2012.docx Yes Yes Fillable Fileable

Health Immunization Management

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population  49 FR 37693

5,600 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 5,600 0 0 0 0 0
Annual IC Time Burden (Hours) 5,600 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
QDRL NHIS A-CASI 5600 letter to Dr QDRL NHIS A-CASI 5600 letter to Dr. Schwab 06202012-final.docx 06/25/2012
QDRL NHIS 5600- Attach 4-2011 Core Qnne 0619 2012 QDRL NHIS 5600- Attach 4-2011 Core Qnne 0619 2012.docx 06/25/2012
QDRL NHIS 5600 Attach 3 -ltr--Dr QDRL NHIS 5600 Attach 3 -ltr--Dr. Sondik 0523 2012.LZ.doc 06/25/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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