OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health Information National Trends Survey V (HINTS V) (NCI)

OMB 0925-0538 · HHS/NIH.

OMB 0925-0538

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 2 Pilot StudyForm
Form 1 Individual Main StudyForm
Form 1 Health Information National Trends SurveyForm and Instruction
30-Day FRN HINTS.pdf Supplementary Document
Appendix G2 - Privacy Act Memo.pdf Supplementary Document
Appendix M - References.pdf Supplementary Document
Appendix L - Instrument Changes.pdf Supplementary Document
Appendix K- Theoretical Framework.pdf Supplementary Document
Appendix J2 - Westat IRB Approval.pdf Supplementary Document
Appendix J1 - NCI OHSRP Determination.pdf Supplementary Document
Appendix I - Westat Confidentiality Pledge.pdf Supplementary Document
Appendix H - OMB approved incentives.pdf Supplementary Document
Appendix G1 - PIA.pdf Supplementary Document
Appendix F - Health People 2020 Objectives.pdf Supplementary Document
Appendix C - HINTS IV Publications Overview .pdf Supplementary Document
Appendix B - Cover Letters & FAQs.pdf Supplementary Document
Appendix A - History of HINTS.pdf Supplementary Document
SSA HINTS Final 8.17.2016.docxSupporting Statement A
SSB HINTS Final.docxSupporting Statement B
Pilot Study Form
Individual Main Study Form
Health Information National Trends Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201608-0925-002 Reinstatement with change of a previously approved collection 2016-08-25 Withdrawn
201502-0925-003 Reinstatement with change of a previously approved collection 2015-02-23 Approved without change
201407-0925-001 No material or nonsubstantive change to a currently approved collection 2014-07-03 Approved without change
201306-0925-007 No material or nonsubstantive change to a currently approved collection 2013-06-20 Approved without change
201303-0925-007 No material or nonsubstantive change to a currently approved collection 2013-03-29 Improperly submitted and continue
201206-0925-001 No material or nonsubstantive change to a currently approved collection 2012-06-05 Approved without change
201107-0925-002 Reinstatement with change of a previously approved collection 2011-07-14 Approved with change
200802-0925-004 Extension without change of a currently approved collection 2008-02-20 Approved without change
200801-0925-001 No material or nonsubstantive change to a currently approved collection 2008-01-07 Approved without change
200712-0925-001 No material or nonsubstantive change to a currently approved collection 2007-12-06 Approved without change
200711-0925-004 No material or nonsubstantive change to a currently approved collection 2007-11-20 Improperly submitted and continue
200708-0925-001 No material or nonsubstantive change to a currently approved collection 2007-08-08 Improperly submitted and continue
200707-0925-001 Revision of a currently approved collection 2007-07-26 Approved with change
200407-0925-002 New collection (Request for a new OMB Control Number) 2004-07-23 Approved with change