Methodological Projects - Adult Family Member

National Health Interview Survey

OMB: 0920-0214

IC ID: 214142

Information Collection (IC) Details

View Information Collection (IC)

Methodological Projects - 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 2015 Follow-back Survey 2015 NHIS FB Instrument for OMB 040215.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

15,000 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 15,000 0 6,600 0 0 8,400
Annual IC Time Burden (Hours) 5,000 0 2,200 0 0 2,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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