Child Questionnaire

[NCHS] National Health Interview Survey

OMB: 0920-0214

IC ID: 229172

Information Collection (IC) Details

View Information Collection (IC)

Child Questionnaire 0920-22IA
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None 2023 NHIS Sample Child Questionnaire Att 9c - 2023 NHIS Sample Child Questionnaire.pdf 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

10,000 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 10,000 0 0 0 0 10,000
Annual IC Time Burden (Hours) 3,667 0 0 0 0 3,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Additional COVID Questions Att 2 - 2021 Sample Child Covid-19 Vaccination Questions.pdf 02/05/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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