Information Collection

NCHS Rapid Surveys System

IC 260111 under ICR 202305-0920-003 · OMB 0920-1408.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1408 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCHS Rapid Surveys System	Form and Instruction
Burden Estimate and Survey/Cognitive Interview Content f Att D RSS1 (2023) Burden and Questionnaire_24MAY23.docx	Form and Instruction
Burden Estimate and Survey/Cognitive Interview Content f Att D RSS1 (2023) Burden and Questionnaire_24MAY23.docx	Form and Instruction

IC Title:

NCHS Rapid Surveys System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Burden Estimate and Survey/Cognitive Interview Content for RSS Round 1 (2023)	Att D RSS1 (2023) Burden and Questionnaire_24MAY23.docx		Yes	Yes	Fillable Fileable

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: 84,080

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	84,080	84,080
Annual IC Time Burden (Hours)	28,079	28,079
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.