Cycle 4 Qx for Health Information National Trends Survey 4 (HINTS4)

Health Information National Trends Survey 4 (HINTS 4) (NCI)

OMB: 0925-0538

IC ID: 181324

Information Collection (IC) Details

View Information Collection (IC)

Cycle 4 Qx for Health Information National Trends Survey 4 (HINTS4)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4 List of Potential Questions for Cycle 4 Qx Appendix B1 - List of Potential Items.pdf Yes No Paper Only
Form and Instruction 2 English Version of Instrument for Cycle 4 Appendix B - Instrument English.docx No   Printable Only
Form and Instruction 3 Spanish Version of Instrument for Cycle 4 Appendix C - Instrument Spanish.docx No   Printable Only

Health Public Health Monitoring

 

3,500 0
   
Individuals or Households
 
   0 %

  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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 1,750 0 0 0 0 1,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix K - Cover Letters in English Appendix K - Cover Letters in English.docx 06/27/2011
Appendix L - Letters in Spanish Appendix L - Letters in Spanish.docx 06/27/2011
Cover Versions Appendix D - Cover Versions.docx 07/01/2014
Shadin Appendix E - Shading Example.docx 07/01/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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