Information Collection

[NCHS] National Center for Health Statistics Rapid Surveys System

IC 260111 under ICR 202310-0920-016 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-23GY [NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
0920-23GY RSS2_Full_OMB_Questionnaire_July182023 RSS2_Full_OMB_Questionnaire_July182023.docx	Form and Instruction
0920-23GY RSS2_Full_OMB_Questionnaire_July182023 RSS2_Full_OMB_Questionnaire_July182023.docx	Form and Instruction
0920-1408 NCHS Rapid Survey System Round 1 Questionnaire SSA_Att D RSS1 Full Questionnaire 30-Day.docx	Form and Instruction
0920-1408 NCHS Rapid Survey System Round 1 Questionnaire SSA_Att D RSS1 Full Questionnaire 30-Day.docx	Form and Instruction
0920-1408-24AP AttA_Rapid_Survey_System_Round3_Questionnaire AttA_Rapid_Survey_System_Round3_Questionnaire.docx	Form and Instruction
0920-1408-24AP AttA_Rapid_Survey_System_Round3_Questionnaire AttA_Rapid_Survey_System_Round3_Questionnaire.docx	Form and Instruction
RSS Round 3 Nonsubstantive Change Request_102423.docx RSS Round 3 Nonsubstantive Change Request_102423	IC Document
RSS Round 3 Nonsubstantive Change Request_102423.docx RSS Round 3 Nonsubstantive Change Request_102423	IC Document
RSS_30_Day_FRN_Round3.docx RSS_30_Day_FRN_Round3	IC Document
RSS_30_Day_FRN_Round3.docx RSS_30_Day_FRN_Round3	IC Document

IC Title:

[NCHS] National Center for Health Statistics Rapid Surveys System

Agency IC Tracking Number:

0920-1408-24AP

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	0920-23GY	RSS2_Full_OMB_Questionnaire_July182023	RSS2_Full_OMB_Questionnaire_July182023.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1408-24AP	AttA_Rapid_Survey_System_Round3_Questionnaire	AttA_Rapid_Survey_System_Round3_Questionnaire.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: 13,120

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	Previously Approved
Annual Number of Responses for this IC	13,120	13,120
Annual IC Time Burden (Hours)	4,387	4,387
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RSS Round 3 Nonsubstantive Change Request_102423	RSS Round 3 Nonsubstantive Change Request_102423.docx	10/31/2023
RSS_30_Day_FRN_Round3	RSS_30_Day_FRN_Round3.docx	10/31/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.