Household Interview

National Health and Nutrition Examination Survey

OMB: 0920-0950

IC ID: 245119

Documents and Forms
Information Collection (IC) Details

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Household Interview 0920-0950
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0950 Household Interview Att_3c_HH Interview_201129.docx Yes Yes Fillable Fileable
Form and Instruction n/a Household Interview (with Covid mods) Att. 1a COQ_HH_220901_CLEAN COPY.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

5,600 0
   
Individuals or Households
 
   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 5,600 0 0 0 0 5,600
Annual IC Time Burden (Hours) 5,600 0 0 0 0 5,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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