Information Collection

[NCHS] National Center for Health Statistics Rapid Surveys System

IC 260111 under ICR 202402-0920-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
[NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
[NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
Rapid Survey System Round 4 Questionnaire Att A RSS Round 4 Questionnaire 02012024.docx	Form and Instruction
Rapid Survey System Round 4 Questionnaire Att A RSS Round 4 Questionnaire 02012024.docx	Form and Instruction

IC Title:

[NCHS] National Center for Health Statistics Rapid Surveys System

Agency IC Tracking Number:

0920-1408-24CT

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	n/a	Rapid Survey System Round 4 Questionnaire	Att A RSS Round 4 Questionnaire 02012024.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: 13,100

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,100	-20	13,120
Annual IC Time Burden (Hours)	4,367	-20	4,387
Annual IC Cost Burden (Dollars)	0	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.