Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NHIS 2007 Adult Core Questionnaire Modified 23400 6630 0 Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
NHIS 2007 Adult Topical Module Modified 23400 5850 0 Instruction
NHIS 2007 Child Core Questionnaire Modified 9400 1410 0 Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
NHIS 2007 Child Topical Module Modified 9400 627 0 Form and Instruction Not Assigned
NHIS 2007 Family Core Questionnaire Modified 30000 11500 0 Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
Form and Instruction Not Assigned
NHIS 2007 Reinterview Survey Modified 3000 250 0 Form and Instruction Not Assigned
NHIS 2007 Screener Questionnaire Modified 15000 1250 0 Form and Instruction None Assigned
Form and Instruction None Assigned
NIS 2008 Child Immunization Questionnaire Modified 1200 100 0 Form CDC 64.122
NIS 2008 Teen Immunization Questionnaire Modified 4800 400 0 Form CDC 64.122
Total burden requested under this ICR: 119600 28017 0  
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