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Federal forms, ICRs, and supporting documents

Information Collection Request

National Health Interview Survey: 1999 Basic Module and Periodic Module

ICR 199810-0920-002 · OMB 0920-0214 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6673 National Health Interview Survey: 1999 Basic Module and Periodic Module Migrated
ICR Details
0920-0214 199810-0920-002
Historical Active 199708-0920-002
HHS/CDC
National Health Interview Survey: 1999 Basic Module and Periodic Module
Revision of a currently approved collection   No
Regular
Approved without change 01/15/1999
Retrieve Notice of Action (NOA) 10/28/1998
Approved for use through 4/2000 under the condition that the NCHS submits to OMB for the public record a summary description of its household sampling/roster methodology and an explanation of roster methodologies employed in other major HHS and Federal health surveys. OMB also encourages NCHS to continue its regular consultations with ASPE, Census, and OMB on survey design issues related to health care and welfare reform.
  Inventory as of this Action Requested Previously Approved
04/30/2000 04/30/2000 04/30/1999
42,000 0 42,000
48,600 0 57,000
0 0 0
The National Health Interview Survey (NHIS) is a multipurpose survey conducted to comply with the National Center for Health Statistics' (NCHS) mandate under 42 U.S.C. 242K to secure statistical information on the amount, distribution, and effects of illness and disability in the United States and the service rendered for or because of such conditions.
None
None
No
1
IC Title Form No. Form Name
National Health Interview Survey: 1999 Basic Module and Periodic Module
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42,000 42,000 0 0 0 0
Annual Time Burden (Hours) 48,600 57,000 0 -8,400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/28/1998