View Information Collection (IC)

View Information Collection (IC)

Household Screener Instrument
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a NSFG Household Screener Instrument in Capilite Format ATT-H-NSFG-screener-capilite-Sep2021.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

13,500 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 13,500 0 13,500 0 0 0
Annual IC Time Burden (Hours) 675 0 675 0 0 0
Annual IC Cost Burden (Dollars) 20,223 0 20,223 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.