NHIS 2007 Screener 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⚠️ Notice: This information collection may be referencing outdated material.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 None Assigned NHIS 2007 Screener Questionnaire Form and Instruction
None Assigned Screener Questionnaire 2-HHCoverage.doc Form and Instruction
None Assigned Screener Survey 1-HHC.doc Form and Instruction

Information Collection (IC) Details

IC Title:	NHIS 2007 Screener Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	None Assigned	Screener Questionnaire	2-HHCoverage.doc		Yes	Yes	Printable Only
Form and Instruction	None Assigned	Screener Survey	1-HHC.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 U.S. Population	FR Citation: 49 FR 37693

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	1,250	1,250
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.