View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

2013 NHIS Health Insurance Web and Cognitive Interview Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Yes No Fillable Fileable
Instruction No No Printable Only
Form and Instruction 4 Yes Yes Fillable Fileable

Health Immunization Management

Health and Demographic Surveys Conducted in Probability Samples of the US Population  49 FR 37693

1,550 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,550 0 0 0 0 0
Annual IC Time Burden (Hours) 300 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Study Advertisement 10/17/2013
Letter to Dr. Schwab 10/17/2013
Word Version of Questionnaire 11/04/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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