Adolescent Follow-back Survey

[NCHS] National Health Interview Survey

OMB: 0920-0214

IC ID: 244154

Information Collection (IC) Details

View Information Collection (IC)

Adolescent Follow-back Survey 0920-0214
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0214 Adolescent Follow-back Survey Att 9e - 2020-2022 Adolescent Follow-back Survey (AFS) - Adolescent Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37693

1,200 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 1,200 0 0 0 0 1,200
Annual IC Time Burden (Hours) 320 0 0 0 0 320
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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