NHIS 2007 Adult Core Questionnaire

National Health Interview Survey 2007-2009

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0214 can be found here:

Documents and Forms

Document Name Document Type
Form Not Assigned NHIS 2007 Adult Core Questionnaire Form and Instruction
Not Assigned Adult Identification 1-AIDupdated.doc Form and Instruction
Not Assigned Adult Identification 01-AID.doc Form and Instruction
Not Assigned Adult Health Behaviors 05-AHB.doc Form and Instruction
Not Assigned Adult Health Status and Limitations 04-AHS.doc Form and Instruction
Not Assigned Adult Socio-Demographic 02-ASD.doc Form and Instruction
Not Assigned Adult Conditions 03-ACN.doc Form and Instruction
Not Assigned Adult Access to Health Care and Utilization 06-AAU.doc Form and Instruction
Not Assigned Adult AIDS Knowledge and Attitudes 07-ADS.doc Form and Instruction

Information Collection (IC) Details

IC Title:	NHIS 2007 Adult Core Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Not Assigned	Adult Identification	1-AIDupdated.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Identification	01-AID.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Health Behaviors	05-AHB.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Health Status and Limitations	04-AHS.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Socio-Demographic	02-ASD.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Conditions	03-ACN.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult Access to Health Care and Utilization	06-AAU.doc	Yes	Yes	Printable Only
Form and Instruction	Not Assigned	Adult AIDS Knowledge and Attitudes	07-ADS.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Health and Demographic Surveys Conducted in Probability Samples of the US Population	FR Citation: 49 FR 37693

Number of Respondents: 32,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32,000	32,000
Annual IC Time Burden (Hours)	9,600	9,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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