Information Collection

[NCHS] Health Data User Survey 2023

IC 259883 under ICR 202301-0920-017 · OMB 0920-0729.

Documents and Forms

Document Name Document Type
Form 1 [NCHS] Health Data User Survey 2023 Form
1 Health Data User Survey Health Data User Survey 2023 050423 Clean NCHS.docx Form
SSA Health Data User Survey_04262023.docx Supporting Statement Part A IC Document
Sup St B 08132020 Health Data User Survey for OMB_042123.docx Supporting Statement Part B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NCHS] Health Data User Survey 2023	Agency IC Tracking Number:

IC Status: New

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	1	Health Data User Survey	Health Data User Survey 2023 050423 Clean NCHS.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population	FR Citation: 49 FR 37693

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	SSA Health Data User Survey_04262023.docx	04/26/2023
Supporting Statement Part B	Sup St B 08132020 Health Data User Survey for OMB_042123.docx	04/26/2023

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