2015 NHIS Occupational Health Supplement and Cancer Control Supplement

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 210607

Information Collection (IC) Details

View Information Collection (IC)

2015 NHIS Occupational Health Supplement and Cancer Control Supplement
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 0920-0222 Attach 3- 2015 NHIS Occ Hlth Screening script.docx Yes Yes Fillable Fileable
Other-WORD 0920-0222 Attach 1- 2015 NHIS Occ Hlth Qnne.docx Yes Yes Fillable Printable
Form none Cancer Control - Questionniare 0920-0222 Attach 1- 2015 NHIS Cancer Qnne.docx Yes Yes Fillable Fileable
Form none Cancer Control - screener 0920-0222 Attach 3- 2015 NHIS Cancer Screening script.docx Yes Yes Fillable Fileable

Health Immunization Management

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

70 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 70 0 0 0 0 0
Annual IC Time Burden (Hours) 70 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0920-0222 Attach 2- 2015 NHIS Occ Hlth Adv & Flyer 0920-0222 Attach 2- 2015 NHIS Occ Hlth Adv & Flyer.docx 03/03/2014
Cancer Control - Flyers 0920-0222 Attach 2- 2015 NHIS Cancer Adv & Flyers.docx 03/03/2014
0920-0222 QDRL 2015 NHIS Occ Hlth Letter 0920-0222 QDRL 2015 NHIS Occ Hlth Letter.docx 03/03/2014
Cancer Control - Letter to Dr. Schwab 0920-0222 QDRL 2015 NHIS Cancer Letter.docx 03/03/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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