High-Frequency Surveys Program/Household Pulse Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1029 can be found here:

Documents and Forms

Document Name Document Type
Form Part A, Attachment High-Frequency Surveys Program/Household Pulse Survey Form
Part A, Attachment Part A, Attachment A_Phase 4.0 Questionnaire Part A, Attachment A_Phase 4.0 Questionnaire_10.17.23.docx Form
Part A, Attachment Part A, Attachment A_Phase 4.0 Questionnaire Part A, Attachment A_Phase 4.0 Questionnaire_11.20.23.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	High-Frequency Surveys Program/Household Pulse Survey	Agency IC Tracking Number:	0607-XXXX

Is this a Common Form? No		IC Status: New

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	Part A, Attachment A_Phase 4.0 Questionnaire	Part A, Attachment A_Phase 4.0 Questionnaire	Part A, Attachment A_Phase 4.0 Questionnaire_11.20.23.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 198,450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	198,450	198,450
Annual IC Time Burden (Hours)	66,084	66,084
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.