Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2013 NHIS Health Insurance Web and Cognitive Interview Study New 1550 300 0 Form and Instruction none
Instruction
Form and Instruction 4
2015 NHIS Occupational Health Supplement and Cancer Control Supplement New 70 70 0 Other-WORD
Other-WORD
Form none
Form none
2015 National Electronic Health Records Survey New 134 57 0 Form none
Form and Instruction none
Form none
4 Sets of Health Questions and Blood Donor History Questionnaire Evaluation New 125 125 0 Form and Instruction none
Form and Instruction none
Adult and Child Disability Questions New 100 100 0 Form and Instruction none
Form none
Form none
Cognitive Testing of Adults with Chronic Health Care Needs New 60 60 0 Form and Instruction none
Cognitive testing of High-impact, Chronic Pain questions - NCHS Questionnaire Design Research Laboratory (QDRL) New 112 46 0 Form and Instruction None
Form and Instruction None
Diabetes Primary Prevention New 117 51 0 Form none
Form none
Evaluate Cervical and Lung Cancer Screening Questions New 112 46 0 Form none
Form none
Evaluation of Uniform Donor History Questionnaire and Evaluation of Violence Against Children Survey (VACS)- Malawi New 65 75 0 Form and Instruction None
Form None
Form None
GENERIC IC Gen IC Questionnaire Design Research Lab - 2013 Comparative Disability Questions and Mode Effects Study New 120 180 0 Form None
Form None
Form and Instruction None
NAMCS Feasibility Study New 2268 779 0 Form and Instruction none
Form and Instruction none
Form and Instruction none
NHIS College Housing Frame Questionnaire Study New 300 50 0 Other-WORD
Pregnancy Risk Assessment Monitoring System New 50 75 0 Form none
Form and Instruction none
Form none
Form none
Questionnaire Design Research Lab (2016 NAMCS Culturally and Linguistically Appropriate Services (CLAS) Supplement Evaluation) New 68 24 0 Form and Instruction 0920-0222
Form and Instruction 0920-0222
Questionnaire Design Research Lab: 5600 Case CAPI and ACASI NHIS Field Test New 5600 5600 0 Form and Instruction none
Form and Instruction none
Teen Disability and Demographic Questions Cognitive Interviewing Study New 200 100 0 Form and Instruction none
Form and Instruction none
Testing Long-term Care Questions New 26 26 0 Form none
Form none
Form and Instruction none
UNICEF/Washington Group School Environment Study New 73 29 0 Form none
Form none
Violence Against Children Survey Evaluation Study - Philippines New 40 80 0 Form none
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 11190 7873 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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