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[NCHS] National Center for Health Statistics Rapid Surveys System
[NCHS] National Center for Health Statistics (NCHS) Rapid Surveys System (RSS)
OMB: 0920-1408
IC ID: 260111
OMB.report
HHS/CDC
OMB 0920-1408
ICR 202405-0920-004
IC 260111
( )
Documents and Forms
Document Name
Document Type
[NCHS] National Center for Health Statistics Rapid Surveys System
Form and Instruction
Rapid Survey System Round 4 Questionnaire
Att A RSS Round 4 Questionnaire 02012024.docx
Form and Instruction
Rapid Survey System Round 4 Questionnaire
Att A RSS Round 4 Questionnaire 02012024.docx
Form and Instruction
0920-1408 NCHS Rapid Survey System – Round 5
RSS Round 5 Questionnaire 5.7.2024.docx
Form and Instruction
0920-1408 NCHS Rapid Survey System – Round 5
RSS Round 5 Questionnaire 5.7.2024.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCHS] National Center for Health Statistics Rapid Surveys System
Agency IC Tracking Number:
0920-1408-24CT
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
n/a
Rapid Survey System Round 4 Questionnaire
Att A RSS Round 4 Questionnaire 02012024.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1408
NCHS Rapid Survey System – Round 5
RSS Round 5 Questionnaire 5.7.2024.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population
FR Citation:
49 FR 37693
Number of Respondents:
13,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
13,100
0
0
0
0
13,100
Annual IC Time Burden (Hours)
4,367
0
0
0
0
4,367
Annual IC Cost Burden (Dollars)
0
0
0
0
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.