COVID-Related Questions Sample Adult

Changes to 2020 National Health Interview Survey in light of Novel Coronavirus (2019-nCoV)

OMB: 0920-0214

IC ID: 242297

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COVID-Related Questions Sample Adult 0920-0214-20PP
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0214 Sample Adult 2020 Q3 Emergency NHIS Attachment A 06012020.docx No   Fillable Fileable

Health Public Health Monitoring

09-20-0167 Health Resources Utilization Statistics  49 FR 37693

13,500 0
   
Individuals or Households
 
   0 %

  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 13,500 0 13,500 0 0 0
Annual IC Time Burden (Hours) 1,125 0 1,125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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