OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Heritage Health Index 2014 Survey (HHI)

OMB 3137-0088 · IMLS.

OMB 3137-0088

Latest Forms, Documents, and Supporting Material

Document Name
Form HHI 2014 Form 1 2014 Heritage Health Index survey questionnaire Form and Instruction
IMLS HHI 2014 NonRespBias Questionnaire Web 2014-09-05.docx Supplementary Document
IMLS HHI 2014 NonRespBias Questionnaire Paper 2014-09-05.docx Supplementary Document
IMLS HHI 2014 Collection Questionnaire Web 2014-09-05.docx Supplementary Document
IMLS HHI 2014 Appendices A to O 2014-09-05.docx Supplementary Document
Appendices A-H 3-28-14.docx Supplementary Document
HHI 2014 Contact Verification Script.docx Supplementary Document
HHI 2014 NonResp BiasQuestionnaire.docx Supplementary Document
IMLS HHI 2014 Supporting Statement Part B 2014-09-05.docx Supporting Statement B
IMLS HHI 2014 Supporting Statement Part A 2014-09-05.docx Supporting Statement A
2014 Heritage Health Index survey questionnaire Form and Instruction

All Historical Document Collections

201404-3137-001

Approved with change

New collection (Request for a new OMB Control Number)

2014-04-14