National Survey of Children's Health

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0990 can be found here:

Documents and Forms

Document Name Document Type
Form NSCH-S1 & NSCH-T1 National Survey of Children's Health Form
Appendix D - 2019 NSCH Envelope Design Drafts_final.pdf Other-2019 NSCH Envelope Design Draf
Appendix E - 2019 NSCH Production Sample Letters.pdf Other-2019 NSCH Production Sample Le
Appendix F – 2019 NSCH Screener Card Test Sample Letters.pdf Other-2019 NSCH Screener Card Test L
NSCH-S1 & NSCH-T1 2019 NSCH Questionnaire Content Revisions Appendix A - 2019 NSCH Questionnaire Content Revisions.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Children's Health	Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NSCH-S1 & NSCH-T1	2019 NSCH Questionnaire Content Revisions	Appendix A - 2019 NSCH Questionnaire Content Revisions.pdf	Yes	Yes	Fillable Fileable
Other-2019 NSCH Envelope Design Drafts			Appendix D - 2019 NSCH Envelope Design Drafts_final.pdf	Yes	Yes	Fillable Fileable
Other-2019 NSCH Production Sample Letters			Appendix E - 2019 NSCH Production Sample Letters.pdf	Yes	Yes	Fillable Fileable
Other-2019 NSCH Screener Card Test Letter			Appendix F – 2019 NSCH Screener Card Test Sample Letters.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: SORN Census 3	FR Citation: 77 FR 18205

Number of Respondents: 96,549	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	96,549	-170,357	266,906
Annual IC Time Burden (Hours)	20,371	3,798	16,573
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.