Information Collection

High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey

IC 263027 under ICR 202605-0607-003 · OMB 0607-1029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Part A, Attachment Part A, Attachment A_HTOPS Jul Sep Nov Questionnaires (1) High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey	Form
Part A, Attachment Part A, Attachment A_HTOPS Jul Sep Nov Questionnaires (1 Part A, Attachment A_HTOPS Jul Sep Nov Questionnaires (1).docx	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	Part A, Attachment A_HTOPS				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 162,768

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	162,768	162,768
Annual IC Time Burden (Hours)	54,202	54,202
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].