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Flexible Consumer Behavior Survey Phone Follow-up
National Health and Nutrition Examination Survey
OMB: 0920-0950
IC ID: 218879
OMB.report
HHS/CDC
OMB 0920-0950
ICR 202002-0920-011
IC 218879
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0950 can be found here:
2023-03-09 - Revision of a currently approved collection
2022-09-06 - No material or nonsubstantive change to a currently approved collection
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
View Information Collection (IC)
IC Title:
Flexible Consumer Behavior Survey Phone Follow-up
Agency IC Tracking Number:
0920-0950
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
Flexible Consumer Behavior Survey
Att_3j_FCBS form 5_3_2018 082918.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 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
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
1,667
0
0
0
0
1,667
Annual IC Cost Burden (Dollars)
39,350
0
0
0
0
39,350
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.