Information Collection

Nehrs

IC 238511 under ICR 202308-0920-002 · OMB 0920-1015.

Documents and Forms

Document Name Document Type
NEHRS Form and Instruction
NEHRS Survey Att C - Proposed Instrument.pdf Form and Instruction
0920-1015 NEHRS 2024 19JAN2024 Att C - Proposed Instrument updated 01182024.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NEHRS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	0920-1015	NEHRS 2024 19JAN2024	Att C - Proposed Instrument updated 01182024.pdf	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: NEHRS	FR Citation: 84 FR 38986

Number of Respondents: 16,633	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,633	16,633
Annual IC Time Burden (Hours)	5,544	5,544
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.