HPV PRC Participants

National Health and Nutrition Examination Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0950 can be found here:

Documents and Forms

Document Name Document Type
HPV PRC Participants Form
HPV Participants Att D2 HPV PRC Part Form 110315.docx Form
Att D1 HPV PRC Descrip.docx HPV PRC Instructions IC Document

Information Collection (IC) Details

IC Title:	HPV PRC Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Form	none	HPV Participants	Att D2 HPV PRC Part Form 110315.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0167 Health Resources Utilization Statistics	FR Citation: 49 FR 37693

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	275	275
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HPV PRC Instructions	Att D1 HPV PRC Descrip.docx	11/05/2015

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