NHCIS Multi-mode Study (adult family member)

National Health Interview Survey

OMB: 0920-0214

IC ID: 186084

Information Collection (IC) Details

View Information Collection (IC)

NHCIS Multi-mode Study (adult family member)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none NHCIS Attachment 3f NHCIS Multi-Mode Study.pdf Yes Yes Fillable Fileable

Health Immunization Management

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

12,000 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 12,000 0 7,000 0 0 5,000
Annual IC Time Burden (Hours) 2,000 0 -500 0 0 2,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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