Information Collection

Nehrs

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NEHRS	Form and Instruction
Form 0920-1015 NEHRS 2024 19JAN2024 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

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:

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	0920-1015			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 %

table that charts list of burden
	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

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.

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