Information Collection

Phase 4 Nonresponse Follow-up Questions

IC 249210 under ICR 202307-0920-006 · OMB 0920-0314.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0314 can be found here:

Documents and Forms

Document Name Document Type
Phase 4 Nonresponse Follow-up Questions Form and Instruction
Draft Phase 4 Nonresponse Followup Mailed Questionnaires ATT-N3-NSFG-Phase4NRFU_DraftQuex-24May2021.docx Form and Instruction
Draft Phase 4 Nonresponse Followup Mailed Questionnaires ATT-N3-NSFG-Phase4NRFU_DraftQuex-24May2021.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Phase 4 Nonresponse Follow-up Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	n/a	Draft Phase 4 Nonresponse Followup Mailed Questionnaires	ATT-N3-NSFG-Phase4NRFU_DraftQuex-24May2021.docx		No		Paper Only

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: 375	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-375	375
Annual IC Time Burden (Hours)	-31	31
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.