Information Collection

2026 National Survey of Children's Health

IC 220525 under ICR 202603-0607-004 · OMB 0607-0990.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix D - 2026 Appendix D - 2026 NSCH Screener and Topical Questionnaires 2026 National Survey of Children's Health	Form
Appendix D - 2026 Appendix D - 2026 NSCH Screener and Topical Questionnair Appendix D-2026 NSCH Screener and Topical Questionnaires_v2.pdf	Form

IC Title:

Agency IC Tracking Number:

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	Appendix D - 2026 NSCH Screener and Topical				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: SORN Census 3

FR Citation: 77 FR 18205

Number of Respondents: 126,703

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	126,703	0	126,703
Annual IC Time Burden (Hours)	42,553	-310	42,863
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.

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