View Information Collection (IC)

View Information Collection (IC)

Household Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Household Interview Att_3d_HH SP Family Instruments 10_23_18.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

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

5,000 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 5,000 0 -9,410 0 0 14,410
Annual IC Time Burden (Hours) 7,500 0 -28,525 0 0 36,025
Annual IC Cost Burden (Dollars) 178,950 0 178,950 0 0 0

Title Document Date Uploaded
Household Interview Hand Cards Att_3e_HH SP Family_Hand Cards 081718.docx 09/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.