NHIS College Housing Frame Questionnaire Study

NCHS Questionnaire Design Research Laboratory

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.