Flexible Consumer Behavior Survey Phone Follow-up

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⚠️ Notice: This information collection may be referencing outdated material.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
Flexible Consumer Behavior Survey Phone Follow-up Form
Flexible Consumer Behavior Survey Att_3j_FCBS form 5_3_2018 082918.docx Form
Att_3i_FCBS Deescription 072718.docx FCBS Description IC Document
Att_3k_FCBS_Hand Cards 072718.docx FCBS Hand Cards IC Document

Information Collection (IC) Details

IC Title:	Flexible Consumer Behavior Survey Phone Follow-up	Agency IC Tracking Number:	0920-0950

Is this a Common Form? No		IC Status: Modified

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	Flexible Consumer Behavior Survey	Att_3j_FCBS form 5_3_2018 082918.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: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	1,667	0	1,667
Annual IC Cost Burden (Dollars)	39,350	39,350	0

Documents for IC

Title	Document	Date Uploaded
FCBS Description	Att_3i_FCBS Deescription 072718.docx	09/13/2018
FCBS Hand Cards	Att_3k_FCBS_Hand Cards 072718.docx	09/13/2018

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