OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2026 National Health Interview Survey (NHIS) Field Test

IC 279054 under ICR 202506-0607-001 · OMB 0607-0978.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Other-Communication Materials
Other-TQA Script
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2026 National Health Interview Survey (NHIS) Field Test
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Roster Questionnaire Enclosure 1 - Roster 021226.docx No   Fillable Fileable
Form and Instruction n/a Sample Adult Questionnaire Enclosure 2 - Sample Adult 020426.pdf No   Fillable Fileable
Form and Instruction n/a Roster and Sample Adult - Single Adult Questionnaire Enclosure 3a- Roster and Sample Adult - Single Adult 020426.pdf No   Fillable Fileable
Form and Instruction n/a Roster and Sample Adult - All Adult Questionnaire Enclosure 3b -Roster and Sample Adult- All Adult 020426.pdf No   Fillable Fileable
Form and Instruction n/a Sample Child Questionnaire Enclosure 4 - Sample Child_02122026.pdf No   Fillable Fileable
Other-Communication Materials Enclosure 5 - Communication Materials_02122026.docx No   Fillable Fileable
Other-TQA Script Enclosure 6 - TQA Script 020426.docx No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

124,200 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 124,200 0 124,200 0 0 0
Annual IC Time Burden (Hours) 23,577 0 23,577 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo OMB memo_20260218.docx 02/18/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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