View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2026 National Health Interview Survey (NHIS) Field Test
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Roster Questionnaire
Enclosure 1 - Roster 021226.docx
No
Fillable Fileable
Form and Instruction
n/a
Sample Adult Questionnaire
Enclosure 2 - Sample Adult 020426.pdf
No
Fillable Fileable
Form and Instruction
n/a
Roster and Sample Adult - Single Adult Questionnaire
Enclosure 3a- Roster and Sample Adult - Single Adult 020426.pdf
No
Fillable Fileable
Form and Instruction
n/a
Roster and Sample Adult - All Adult Questionnaire
Enclosure 3b -Roster and Sample Adult- All Adult 020426.pdf
No
Fillable Fileable
Form and Instruction
n/a
Sample Child Questionnaire
Enclosure 4 - Sample Child_02122026.pdf
No
Fillable Fileable
Other-Communication Materials
Enclosure 5 - Communication Materials_02122026.docx
No
Fillable Fileable
Other-TQA Script
Enclosure 6 - TQA Script 020426.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
124,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
124,200
0
124,200
0
0
0
Annual IC Time Burden (Hours)
23,577
0
23,577
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
OMB memo_20260218.docx
02/18/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.