Information Collection

Eligible and consenting participants - NHBS-Trans Interview

IC 234907 under ICR 201902-0920-007 · OMB 0920-1262.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1262 can be found here:

Documents and Forms

Document Name Document Type
Eligible and consenting participants - NHBS-Trans Interview Form and Instruction
NHBS-Trans Interview - English Att 6a NHBS-Trans Interview (English).docx Form and Instruction
NHBS - Trans Interview - Spanish Att 6b NHBS-Trans Interview (Spanish).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Eligible and consenting participants - NHBS-Trans Interview	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	NHBS-Trans Interview - English	Att 6a NHBS-Trans Interview (English).docx	NA	No		Paper Only
Form and Instruction	NA	NHBS - Trans Interview - Spanish	Att 6b NHBS-Trans Interview (Spanish).docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	600	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.