Information Collection

NHIS College Housing Frame Questionnaire Study

IC 215142 under ICR 201205-0920-001 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 1 QDRL NHIS College Dorm Qnne 120414.docx	Other-WORD
QDRL NHIS College Dorm Letter 020915.docx Justification Request	IC Document

IC Title:

NHIS College Housing Frame Questionnaire Study

Agency IC Tracking Number:

15QB

IC Status: New

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
Other-WORD			Att 1 QDRL NHIS College Dorm Qnne 120414.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0164 Health and Demographics Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 37693

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Request	QDRL NHIS College Dorm Letter 020915.docx	03/03/2015

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