OMB Statement and Screener

National Health Interview Survey

OMB: 0920-0214

IC ID: 214111

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

OMB Statement and Screener
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None 2015 OMB Statement and Screener Attachment 3 - OMB Statement-Screener.pdf None No   Fillable Fileable

Health Public Health Monitoring

 

10,000 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 0 0 -10,000 0 0 10,000
Annual IC Time Burden (Hours) 0 0 -833 0 0 833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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