Household Survey of Injuries and Illnesses

Cognitive and Psychological Research

OMB: 1220-0141

IC ID: 220841

Information Collection (IC) Details

View Information Collection (IC)

Household Survey of Injuries and Illnesses 21612
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment A Interview Protocol Attachment 4 Interview Protocol.docx Yes No Printable Only

General Government Central Records & Statistical Mgt

 

300 0
   
Individuals or Households
 
   0 %

  Requested 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 165 0 0 0 0 165
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Note to Reviewer - Household Survey of Injuries and Illnesses Note to Reviewer - HSOII Cognitive Testing.docx 03/31/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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