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⚠️ Notice: This information collection may be referencing outdated material.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 Appendix D National Survey of Children's Health Form
Appendix D Appendix D_2022 NSCH Screener and Topical Questionnaires Appendix D_2022 NSCH Screener and Topical Questionnaires (1).pdf Form
Appendix D Appendix D_2022 NSCH Screener and Topical Questionnaires Appendix D_2022 NSCH Screener and Topical Questionnaires (1).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: 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	Appendix D	Appendix D_2022 NSCH Screener and Topical Questionnaires (1)	Appendix D_2022 NSCH Screener and Topical Questionnaires (1).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: 131,884	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Previously Approved
Annual Number of Responses for this IC	131,884	131,884
Annual IC Time Burden (Hours)	46,587	46,587
Annual IC Cost Burden (Dollars)	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.