Information Collection

National Survey of Children's Health

IC 220525 under ICR 202003-0607-001 · OMB 0607-0990.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NSCH-S1 & NSCH-T1 National Survey of Children's Health	Form
Appendix E_2020 NSCH Traditional Production Sample Letters.pdf	Other-2020 NSCH Traditional Producti
Appendix F_2020 NSCH Redesigned Production Sample Letters.pdf	Other-2020 NSCH Redesigned Productio
NSCH-S1 & NSCH-T1 2020 NSCH Questionnaire Content Revisions Appendix A_2020 NSCH Questionnaire Content Revisions.pdf	Form
Part B_NSCH 2020 Production OMB_clean.docx Supporting Statement Part B	IC Document
Part A_NSCH 2020 Production OMB_clean.docx Supporting Statement Part A	IC Document

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NSCH-S1 & NSCH-T1	2020 NSCH Questionnaire Content Revisions	Appendix A_2020 NSCH Questionnaire Content Revisions.pdf	Yes	Yes	Fillable Fileable
Other-2020 NSCH Traditional Production Sample Letters			Appendix E_2020 NSCH Traditional Production Sample Letters.pdf	Yes	Yes	Fillable Fileable
Other-2020 NSCH Redesigned Production Sample Letters			Appendix F_2020 NSCH Redesigned Production 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: 94,370

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	94,370	-2,179	96,549
Annual IC Time Burden (Hours)	29,642	9,271	20,371
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part B	Part B_NSCH 2020 Production OMB_clean.docx	03/02/2020
Supporting Statement Part A	Part A_NSCH 2020 Production OMB_clean.docx	03/02/2020

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