OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCHS] National Health Interview Survey

OMB 0920-0214 · HHS/CDC.

OMB 0920-0214

DHIS collects on an annual basis, statistically valid data on the amount, distribution, and effects of illness and disability in the population and on the utilization of health care services for such conditions. NHIS data are used widely throughout the Department of Health and Human Services (DHHS) to monitor trends in illness and disability and to track progress toward achieving many of the health objectives for the nation. This Revision includes updated Survey information and burden edits. The current design of the NHIS questionnaire, implemented in 2019, features a rotational schedule consisting of annual core, rotating core, emerging content, and sponsored content modules. This Non-Substantive Change Request is submitted to accommodate the addition/removal of questions on the Household Roster, Adult, Child, Re-Interview Survey Content Sections of the approved data collection. There is a very minor decrease in estimated burden hours.

The latest form for [NCHS] National Health Interview Survey expires 2026-12-31 and is listed under ICR 202601-0920-011.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
NHIS Teen SurveyForm and Instruction
Sample Child Form and Instruction
Form 0920-0214 2026 - NHIS ReInterview Survey_JAN2026Form and Instruction
Form 0920-0214 Re-Interview Questionnaire NHIS_2025Form and Instruction
2024 NHIS Reinterview QuestionnaireForm and Instruction
Re-Interview SurveyForm and Instruction
Methodological ProjectsForm and Instruction
Methodological ProjectsForm and Instruction
Form 0920-0214 2026 - NHIS Child Questionnaire_JAN2026Form and Instruction
Form 0920-0214 Sample Child Questionnaire NHIS_2025Form and Instruction
2024 NHIS Sample Child QuestionnaireForm and Instruction
Child QuestionnaireForm and Instruction
Form 0920-0214 2026 - NHIS Adult Questionnaire_JAN2026Form and Instruction
PAPI Nonresponse Follow-Up Questionnaire V2Form and Instruction
PAPI Nonresponse Follow-Up Questionnaire V1Form and Instruction
Sample Adult Questionnaire NHIS_2025Form and Instruction
Adult QuestionnaireForm and Instruction
Form 0920-0214 2026 - NHIS Roster Questionnaire_JAN2026Form and Instruction
Form 0920-0214 Household Roster NHIS_2025Form and Instruction
2024 NHIS Roster QuestionnaireForm and Instruction
Household RosterForm and Instruction
NHIS Nonsubstantive Change Request 2026.docxJustification for No Material/Nonsubstantive Change
NHIS Nonsubstantive Change Request 2026.docx Justification for No Material/Nonsubstantive Change
Att 5b - 2026 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docxSupplementary Document
Att 5b - 2026 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document
Att 3b - NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdfSupplementary Document
Att 3b - NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document
NHIS Nonsubstantive Change Request PAPI NRFU 2025_v2.docxJustification for No Material/Nonsubstantive Change
NHIS Nonsubstantive Change Request PAPI NRFU 2025_v2.docx Justification for No Material/Nonsubstantive Change
Att 5 2025 NHIS PAPI Item Details.xlsxSupplementary Document
Att 5 2025 NHIS PAPI Item Details.xlsx Supplementary Document
Att 4 2025 NHIS Q4 CAPI Instrument Specifications – Sample Adult.pdfSupplementary Document
Att 4 2025 NHIS Q4 CAPI Instrument Specifications – Sample Adult.pdf Supplementary Document
Att 3b 2025 NHIS PAPI Reminder Letter (Version 2).pdfSupplementary Document
Att 3b 2025 NHIS PAPI Reminder Letter (Version 2).pdf Supplementary Document
Att 3a 2025 NHIS PAPI Reminder Letter (Version 1).pdfSupplementary Document
Att 3a 2025 NHIS PAPI Reminder Letter (Version 1).pdf Supplementary Document
Att 1b 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 2).pdfSupplementary Document
Att 1b 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 2).pdf Supplementary Document
Att 1a 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 1).pdfSupplementary Document
Att 1a 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 1).pdf Supplementary Document
Change Request Memo - EO14168 - 0920-0214 (NHIS)_final.docxJustification for No Material/Nonsubstantive Change
Change Request Memo - EO14168 - 0920-0214 (NHIS)_final.docx Justification for No Material/Nonsubstantive Change
NHIS Nonsubstantive Change Request 2025 DHIS 11.6.24.docxJustification for No Material/Nonsubstantive Change
NHIS Nonsubstantive Change Request 2025 DHIS 11.6.24.docx Justification for No Material/Nonsubstantive Change
Att 5b - 2025 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data (1).docxSupplementary Document
Att 5b - 2025 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data (1).docx Supplementary Document
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdfSupplementary Document
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document
Att 13 - ADDP-DEMO-PIA-FY23_SAOP-Approved-Delegated (1).pdfSupplementary Document
Att 13 - ADDP-DEMO-PIA-FY23_SAOP-Approved-Delegated (1).pdf Supplementary Document
Att 12 - Healthy People 2030 Objectives Slated for NHIS.pdfSupplementary Document
Att 12 - Healthy People 2030 Objectives Slated for NHIS.pdf Supplementary Document
Att 11 Protocol #2019-09 NHIS Amendment #16 Changes for the 2024 NHIS (OCD20230823.03).pdfSupplementary Document
Att 11 Protocol #2019-09 NHIS Amendment #16 Changes for the 2024 NHIS (OCD20230823.03).pdf Supplementary Document
Att 11 Human Subjects Clearance.docxSupplementary Document
Att 11 Human Subjects Clearance.docx Supplementary Document
Att 10d NHIS Thank You Letter.pdfSupplementary Document
Att 10d NHIS Thank You Letter.pdf Supplementary Document
Att 10c Supplemental Mailings.pdfSupplementary Document
Att 10c Supplemental Mailings.pdf Supplementary Document
Att 10b NHIS Brochure.pdfSupplementary Document
Att 10b NHIS Brochure.pdf Supplementary Document
Att 10a.03 Sample Adult Advance Letter.pdfSupplementary Document
Att 10a.03 Sample Adult Advance Letter.pdf Supplementary Document
Att 10a.02 Campus Student Advance Letter.rtfSupplementary Document
Att 10a.02 Campus Student Advance Letter.rtf Supplementary Document
Att 10a.01 Household Advance Letter.pdfSupplementary Document
Att 10a.01 Household Advance Letter.pdf Supplementary Document
Att 8 - Precision Tables.xlsxSupplementary Document
Att 8 - Precision Tables.xlsx Supplementary Document
Att 5b - 2024 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docxSupplementary Document
Att 5b - 2024 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document
Att 5a - 2024 NHIS Sponsored Content Added - Concepts Measured.docxSupplementary Document
Att 5a - 2024 NHIS Sponsored Content Added - Concepts Measured.docx Supplementary Document
Att 3f Proposed Child Sponsored and Emerging Content 2024 2025 2026.docxSupplementary Document
Att 3f Proposed Child Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document
Att 3e Proposed Adult Sponsored and Emerging Content 2024 2025 2026.docxSupplementary Document
Att 3e Proposed Adult Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document
Att 3d NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Child.docxSupplementary Document
Att 3d NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Child.docx Supplementary Document
Att 3c NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Adult.docxSupplementary Document
Att 3c NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Adult.docx Supplementary Document
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdfSupplementary Document
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document
Att 3a NHIS Survey Content Overview.pdfSupplementary Document
Att 3a NHIS Survey Content Overview.pdf Supplementary Document
Att 2d Responses to Comments.docxSupplementary Document
Att 2d Responses to Comments.docx Supplementary Document
Att 2 - 60 Day Federal Register Notice 10-24-2023.pdfSupplementary Document
Att 2 - 60 Day Federal Register Notice 10-24-2023.pdf Supplementary Document
2024 NHIS SSB 2023-11-8-2023.docxSupporting Statement B
2024 NHIS SSB 2023-11-8-2023.docxSupporting Statement B
2025 NHIS SSA.docxSupporting Statement A
2025 NHIS SSA.docxSupporting Statement A
Att 1 Legislative Mandates (Excerpts).pdfSupplementary Document
Att 1 Legislative Mandates (Excerpts).pdf Supplementary Document
Sample Child Form and Instruction
Sample Child  Form and Instruction
Re-Interview Survey Form and Instruction
Re-Interview Survey Form and Instruction
Re-Interview Survey Form and Instruction
Re-Interview Survey Form and Instruction
Methodological Projects Form and Instruction
Methodological Projects Form and Instruction
Child Questionnaire Form and Instruction
Child Questionnaire Form and Instruction
Child Questionnaire Form and Instruction
Child Questionnaire Form and Instruction
Adult Questionnaire Form and Instruction
Adult Questionnaire Form and Instruction
Adult Questionnaire Form and Instruction
Adult Questionnaire Form and Instruction
Adult Questionnaire Form and Instruction
Household Roster Form and Instruction
Household Roster Form and Instruction
Household Roster Form and Instruction
Household Roster Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-0920-011 No material or nonsubstantive change to a currently approved collection 2026-01-28 Approved without change
202509-0920-003 No material or nonsubstantive change to a currently approved collection 2025-09-22
202504-0920-017 No material or nonsubstantive change to a currently approved collection 2025-05-28
202411-0920-002 No material or nonsubstantive change to a currently approved collection 2024-11-13
202311-0920-005 Revision of a currently approved collection 2023-11-15 Approved without change
202303-0920-002 No material or nonsubstantive change to a currently approved collection 2023-03-03 Approved without change
202210-0920-008 No material or nonsubstantive change to a currently approved collection 2022-10-19 Approved without change
202205-0920-003 No material or nonsubstantive change to a currently approved collection 2022-05-06 Approved without change
202111-0920-001 No material or nonsubstantive change to a currently approved collection 2021-11-04 Approved without change
202102-0920-005 No material or nonsubstantive change to a currently approved collection 2021-02-05 Approved without change
202010-0920-003 Revision of a currently approved collection 2020-10-21 Approved without change
202006-0920-009 Revision of a currently approved collection 2020-06-17 Approved with change
201912-0920-009 No material or nonsubstantive change to a currently approved collection 2019-12-11 Approved with change
201911-0920-003 No material or nonsubstantive change to a currently approved collection 2019-11-06 Withdrawn and continue
201807-0920-009 No material or nonsubstantive change to a currently approved collection 2018-07-23 Approved without change
201711-0920-013 Revision of a currently approved collection 2017-11-29 Approved without change
201611-0920-011 Revision of a currently approved collection 2016-12-01 Approved without change
201606-0920-006 No material or nonsubstantive change to a currently approved collection 2016-06-09 Approved with change
201604-0920-013 No material or nonsubstantive change to a currently approved collection 2016-05-03 Withdrawn and continue
201512-0920-002 Revision of a currently approved collection 2015-12-10 Approved without change
201504-0920-008 No material or nonsubstantive change to a currently approved collection 2015-05-01 Approved without change
201503-0920-009 No material or nonsubstantive change to a currently approved collection 2015-03-24 Approved without change
201412-0920-004 Revision of a currently approved collection 2014-12-16 Approved without change
201407-0920-017 No material or nonsubstantive change to a currently approved collection 2014-07-31 Approved without change
201312-0920-006 Revision of a currently approved collection 2013-12-20 Approved without change
201309-0920-001 No material or nonsubstantive change to a currently approved collection 2013-09-03 Approved without change
201212-0920-003 Revision of a currently approved collection 2012-12-06 Approved with change
201209-0920-004 No material or nonsubstantive change to a currently approved collection 2012-09-10 Approved without change
201109-0920-003 No material or nonsubstantive change to a currently approved collection 2011-09-12 Approved without change
201107-0920-008 Revision of a currently approved collection 2011-07-26 Approved without change
201009-0920-002 No material or nonsubstantive change to a currently approved collection 2010-09-20 Approved with change
200910-0920-008 Revision of a currently approved collection 2009-10-21 Approved with change
200811-0920-004 No material or nonsubstantive change to a currently approved collection 2008-11-28 Approved without change
200808-0920-005 No material or nonsubstantive change to a currently approved collection 2008-08-12 Approved without change
200711-0920-006 No material or nonsubstantive change to a currently approved collection 2007-11-16 Approved without change
200610-0920-005 Revision of a currently approved collection 2006-10-16 Approved without change
200601-0920-011 No material or nonsubstantive change to a currently approved collection 2006-01-20 Approved without change
200510-0920-006 No material or nonsubstantive change to a currently approved collection 2005-10-11 Approved without change
200410-0920-008 Revision of a currently approved collection 2004-10-20 Approved without change
200303-0920-003 Revision of a currently approved collection 2003-03-24 Approved without change
200208-0920-007 Extension without change of a currently approved collection 2002-08-20 Approved without change
200109-0920-006 Revision of a currently approved collection 2001-09-26 Approved without change
200104-0920-011 No material or nonsubstantive change to a currently approved collection 2001-04-25 Approved without change
200009-0920-001 Revision of a currently approved collection 2000-09-01 Approved without change
200007-0920-004 Revision of a currently approved collection 2000-07-26 Withdrawn and continue
199905-0920-001 Revision of a currently approved collection 1999-05-17 Approved without change
199810-0920-002 Revision of a currently approved collection 1998-10-28 Approved without change
199708-0920-002 Revision of a currently approved collection 1997-08-20 Approved without change
199609-0920-002 Revision of a currently approved collection 1996-09-26 Approved without change
199509-0920-001 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199410-0920-003 Revision of a currently approved collection 1994-10-06 Approved without change
199310-0920-002 Revision of a currently approved collection 1993-10-08 Approved without change
199206-0920-003 Revision of a currently approved collection 1992-06-01 Approved without change
199104-0920-002 Revision of a currently approved collection 1991-04-02 Approved without change
199011-0920-002 Revision of a currently approved collection 1990-11-09 Approved without change
199001-0920-003 No material or nonsubstantive change to a currently approved collection 1990-01-16 Approved with change
198910-0920-003 Revision of a currently approved collection 1989-10-16 Approved without change
198905-0920-002 Revision of a currently approved collection 1989-05-15 Approved without change
198901-0920-003 No material or nonsubstantive change to a currently approved collection 1989-01-10 Approved with change
198809-0920-002 Revision of a currently approved collection 1988-09-06 Approved without change
198802-0920-008 Revision of a currently approved collection 1988-02-05 Approved without change
198802-0920-002 Revision of a currently approved collection 1988-02-05 Approved without change

OMB Details

Household Roster

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-0214Household Roster NHIS_2025N/AForm and instruction
Form 0920-02142026 - NHIS Roster Questionnaire_JAN2026N/AForm and instruction
Form None2024 NHIS Roster QuestionnaireFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.