Information Collection

[NCHS] National Center for Health Statistics Rapid Surveys System

IC 260111 under ICR 202506-0920-019 · OMB 0920-1408.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1408 can be found here:

2026-06-12 - No material or nonsubstantive change to a currently approved collection
2026-01-21 - No material or nonsubstantive change to a currently approved collection

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
Rapid Survey System Round 4 Questionnaire [NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
Form 0920-1408 NCHS Rapid Survey System – Round 5 [NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
Form 0920-1408 NCHS Rapid Survey System (Round 6) [NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
Form 0920-1408 0920-1408 - RSS Round 7 [NCHS] National Center for Health Statistics Rapid Surveys System	Form and Instruction
0920-1408 RSS-6 Specs_v6_250123_clean.docx	Other-change memo
0920-1408 RSS-6 Specs_v6_250123_clean.docx	Other-change memo
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
0920-1408 NCHS Rapid Survey System – Round 5 RSS Round 5 Questionnaire 5.7.2024.docx	Form and Instruction
0920-1408 NCHS Rapid Survey System – Round 5 RSS Round 5 Questionnaire 5.7.2024.docx	Form and Instruction
0920-1408 NCHS Rapid Survey System (Round 6) RSS-6 Questionnaire 11.14.2024.docx	Form and Instruction
0920-1408 NCHS Rapid Survey System (Round 6) RSS-6 Questionnaire 11.14.2024.docx	Form and Instruction
0920-1408 0920-1408 - RSS Round 7 RSS Round 7 Questionnaire.docx	Form and Instruction
0920-1408 0920-1408 - RSS Round 7 RSS Round 7 Questionnaire.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1408		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1408	N/A	Yes	Yes	Fillable Fileable
Other-change memo			Yes	Yes	Fillable Fileable
Form and Instruction	0920-1408	N/A	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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: 84,080

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	84,080	84,080
Annual IC Time Burden (Hours)	28,079	28,079
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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