Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Core (sample adult) Removed 0 0 0 Other-Questionaire
Child / Teen Record Check (medical provider) Removed 0 0 0 Form none Child/Teen
Child Core (adult family member) Removed 0 0 0 Other-Questionaire
Family Core (adult family member) Removed 0 0 0 Other-Questionaire
Family Core Questionnaire New 45000 17250 0 Form and Instruction None 2015 Family Core Questionnaire
Followback Survey Questionnaire New 12000 4000 0 Form and Instruction None 2015 FollowBack Survey Questionnaire
NHCIS Multi-mode Study (adult family member) Removed 0 0 0 Form none NHCIS
Native Hawaiian / Pacific Islander Survey (adult family member) Removed 0 0 0 Form none Native Hawaiian Pacific Islander
New Supplements and Core Changes New 45000 15000 0 Form and Instruction None 2015 New Supplements and Core Changes
OMB Statement and Screener New 10000 833 0 Form and Instruction None 2015 OMB Statement and Screener
Reinterview Survey Removed 0 0 0 Form none Reinterview
Reinterview Survey New 5000 417 0 Form and Instruction None 2015 Reinterview Survey
Sample Adult Core Questionnaire New 36000 9000 0 Form and Instruction None 2015 Sample Adult Core Questionnaire
Sample Child Core Questionnaire New 14000 2333 0 Form and Instruction None 2015 Sample Child Core Questionnaire
Screener Questionnaire Removed 0 0 0 Form none Screener
Supplements (adult family member) Removed 0 0 0 Form none Supplements
Total burden requested under this ICR: 167000 48833 0  
To view an IC, click on IC Title