Information Collection Request

[NCHS] National Health Interview Survey

ICR 202601-0920-011 · OMB 0920-0214 · Active

Forms and Documents
DocumentTypeStatusAvailability
NHIS Teen Survey Form and Instruction Removed Available
Sample Child  Form and Instruction Removed Available
Form 0920-0214 2026 - NHIS ReInterview Survey_JAN2026 Form and Instruction Modified Available
Form 0920-0214 Re-Interview Questionnaire NHIS_2025 Form and Instruction Modified Available
2024 NHIS Reinterview Questionnaire Form and Instruction Modified Repair queued
Re-Interview Survey Form and Instruction Modified Repair queued
Methodological Projects Form and Instruction Modified Available
Methodological Projects Form and Instruction Modified Available
Form 0920-0214 2026 - NHIS Child Questionnaire_JAN2026 Form and Instruction Modified Available
Form 0920-0214 Sample Child Questionnaire NHIS_2025 Form and Instruction Modified Available
2024 NHIS Sample Child Questionnaire Form and Instruction Modified Available
Child Questionnaire Form and Instruction Modified Repair queued
Form 0920-0214 2026 - NHIS Adult Questionnaire_JAN2026 Form and Instruction Modified Available
PAPI Nonresponse Follow-Up Questionnaire V2 Form and Instruction Modified Repair queued
PAPI Nonresponse Follow-Up Questionnaire V1 Form and Instruction Modified Available
Sample Adult Questionnaire NHIS_2025 Form and Instruction Modified Repair queued
Adult Questionnaire Form and Instruction Modified Available
Form 0920-0214 2026 - NHIS Roster Questionnaire_JAN2026 Form and Instruction Modified Available
Form 0920-0214 Household Roster NHIS_2025 Form and Instruction Modified Available
2024 NHIS Roster Questionnaire Form and Instruction Modified Available
Household Roster Form and Instruction Modified Missing upstream
NHIS Nonsubstantive Change Request 2026.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-26 Available
NHIS Nonsubstantive Change Request 2026.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-26 Repair queued
Att 5b - 2026 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document Uploaded 2026-01-26 Available
Att 5b - 2026 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document Uploaded 2026-01-26 Repair queued
Att 3b - NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2026-01-26 Available
Att 3b - NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2026-01-26 Missing upstream
NHIS Nonsubstantive Change Request PAPI NRFU 2025_v2.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-29 Available
NHIS Nonsubstantive Change Request PAPI NRFU 2025_v2.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-29 Repair queued
Att 5 2025 NHIS PAPI Item Details.xlsx Supplementary Document Uploaded 2025-09-22 Available
Att 5 2025 NHIS PAPI Item Details.xlsx Supplementary Document Uploaded 2025-09-22 Repair queued
Att 4 2025 NHIS Q4 CAPI Instrument Specifications – Sample Adult.pdf Supplementary Document Uploaded 2025-09-22 Available
Att 4 2025 NHIS Q4 CAPI Instrument Specifications – Sample Adult.pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Att 3b 2025 NHIS PAPI Reminder Letter (Version 2).pdf Supplementary Document Uploaded 2025-09-22 Available
Att 3b 2025 NHIS PAPI Reminder Letter (Version 2).pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Att 3a 2025 NHIS PAPI Reminder Letter (Version 1).pdf Supplementary Document Uploaded 2025-09-22 Available
Att 3a 2025 NHIS PAPI Reminder Letter (Version 1).pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Att 1b 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 2).pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Att 1b 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 2).pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Att 1a 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 1).pdf Supplementary Document Uploaded 2025-09-22 Available
Att 1a 2025 NHIS PAPI Nonresponse Follow-Up Letter (Version 1).pdf Supplementary Document Uploaded 2025-09-22 Repair queued
Change Request Memo - EO14168 - 0920-0214 (NHIS)_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-22 Available
Change Request Memo - EO14168 - 0920-0214 (NHIS)_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-22 Repair queued
NHIS Nonsubstantive Change Request 2025 DHIS 11.6.24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-12 Available
NHIS Nonsubstantive Change Request 2025 DHIS 11.6.24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-12 Repair queued
Att 5b - 2025 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data (1).docx Supplementary Document Uploaded 2024-11-12 Available
Att 5b - 2025 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data (1).docx Supplementary Document Uploaded 2024-11-12 Repair queued
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2024-11-12 Available
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2024-11-12 Repair queued
Att 13 - ADDP-DEMO-PIA-FY23_SAOP-Approved-Delegated (1).pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 13 - ADDP-DEMO-PIA-FY23_SAOP-Approved-Delegated (1).pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 12 - Healthy People 2030 Objectives Slated for NHIS.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 12 - Healthy People 2030 Objectives Slated for NHIS.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 11 Protocol #2019-09 NHIS Amendment #16 Changes for the 2024 NHIS (OCD20230823.03).pdf Supplementary Document Uploaded 2023-11-14 Available
Att 11 Protocol #2019-09 NHIS Amendment #16 Changes for the 2024 NHIS (OCD20230823.03).pdf Supplementary Document Uploaded 2023-11-14 Missing upstream
Att 11 Human Subjects Clearance.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 11 Human Subjects Clearance.docx Supplementary Document Uploaded 2023-11-14 Available
Att 10d NHIS Thank You Letter.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 10d NHIS Thank You Letter.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 10c Supplemental Mailings.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 10c Supplemental Mailings.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 10b NHIS Brochure.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 10b NHIS Brochure.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 10a.03 Sample Adult Advance Letter.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 10a.03 Sample Adult Advance Letter.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 10a.02 Campus Student Advance Letter.rtf Supplementary Document Uploaded 2023-11-14 Available
Att 10a.02 Campus Student Advance Letter.rtf Supplementary Document Uploaded 2023-11-14 Available
Att 10a.01 Household Advance Letter.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 10a.01 Household Advance Letter.pdf Supplementary Document Uploaded 2023-11-14 Missing upstream
Att 8 - Precision Tables.xlsx Supplementary Document Uploaded 2023-11-14 Available
Att 8 - Precision Tables.xlsx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 5b - 2024 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document Uploaded 2023-11-14 Available
Att 5b - 2024 NHIS Proposed New Content - Concepts Measured Duplication and Proposed Use of Data.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 5a - 2024 NHIS Sponsored Content Added - Concepts Measured.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 5a - 2024 NHIS Sponsored Content Added - Concepts Measured.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 3f Proposed Child Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document Uploaded 2025-05-22 Available
Att 3f Proposed Child Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document Uploaded 2025-05-22 Repair queued
Att 3e Proposed Adult Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document Uploaded 2025-05-22 Available
Att 3e Proposed Adult Sponsored and Emerging Content 2024 2025 2026.docx Supplementary Document Uploaded 2025-05-22 Missing upstream
Att 3d NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Child.docx Supplementary Document Uploaded 2023-11-14 Available
Att 3d NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Child.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 3c NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Adult.docx Supplementary Document Uploaded 2023-11-14 Available
Att 3c NHIS Annual and Rotating Core 2024, 2025, 2026 - Sample Adult.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 3b NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2023-11-14 Missing upstream
Att 3a NHIS Survey Content Overview.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 3a NHIS Survey Content Overview.pdf Supplementary Document Uploaded 2023-11-14 Repair queued
Att 2d Responses to Comments.docx Supplementary Document Uploaded 2023-11-14 Available
Att 2d Responses to Comments.docx Supplementary Document Uploaded 2023-11-14 Repair queued
Att 2 - 60 Day Federal Register Notice 10-24-2023.pdf Supplementary Document Uploaded 2023-11-14 Available
Att 2 - 60 Day Federal Register Notice 10-24-2023.pdf Supplementary Document Uploaded 2023-11-14 Missing upstream
2024 NHIS SSB 2023-11-8-2023.docx Supporting Statement B Uploaded 2023-11-14 Repair queued
2024 NHIS SSB 2023-11-8-2023.docx Supporting Statement B Uploaded 2023-11-14 Available
2025 NHIS SSA.docx Supporting Statement A Uploaded 2025-05-22 Available
2025 NHIS SSA.docx Supporting Statement A Uploaded 2025-05-22 Available
Att 1 Legislative Mandates (Excerpts).pdf Supplementary Document Uploaded 2023-11-14 Available
Att 1 Legislative Mandates (Excerpts).pdf Supplementary Document Uploaded 2023-11-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
263385 Sample Child Form and Instruction RemovedNHIS Teen Survey
263385 Sample Child  Form and Instruction Removed
229175 Re-Interview Survey Form and Instruction Modified2026 - NHIS ReInterview Survey_JAN2026
229175 Re-Interview Survey Form and Instruction ModifiedRe-Interview Questionnaire NHIS_2025
229175 Re-Interview Survey Form and Instruction Modified2024 NHIS Reinterview Questionnaire
229175 Re-Interview Survey Form and Instruction Modified
229173 Methodological Projects Form and Instruction ModifiedMethodological Projects
229173 Methodological Projects Form and Instruction Modified
229172 Child Questionnaire Form and Instruction Modified2026 - NHIS Child Questionnaire_JAN2026
229172 Child Questionnaire Form and Instruction ModifiedSample Child Questionnaire NHIS_2025
229172 Child Questionnaire Form and Instruction Modified2024 NHIS Sample Child Questionnaire
229172 Child Questionnaire Form and Instruction Modified
229171 Adult Questionnaire Form and Instruction Modified2026 - NHIS Adult Questionnaire_JAN2026
229171 Adult Questionnaire Form and Instruction ModifiedPAPI Nonresponse Follow-Up Questionnaire V2
229171 Adult Questionnaire Form and Instruction ModifiedPAPI Nonresponse Follow-Up Questionnaire V1
229171 Adult Questionnaire Form and Instruction ModifiedSample Adult Questionnaire NHIS_2025
229171 Adult Questionnaire Form and Instruction Modified
229170 Household Roster Form and Instruction Modified2026 - NHIS Roster Questionnaire_JAN2026
229170 Household Roster Form and Instruction ModifiedHousehold Roster NHIS_2025
229170 Household Roster Form and Instruction Modified2024 NHIS Roster Questionnaire
229170 Household Roster Form and Instruction Modified
ICR Details
0920-0214 202601-0920-011
Active 202509-0920-003
HHS/CDC 0920-26-0025
[NCHS] National Health Interview Survey
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/30/2026
Retrieve Notice of Action (NOA) 01/28/2026
  Inventory as of this Action Requested Previously Approved
12/31/2026 12/31/2026 12/31/2026
99,500 0 99,833
37,591 0 37,891
0 0 0

DHIS collects on an annual basis, statistically valid data on the amount, distribution, and effects of illness and disability in the population and on the utilization of health care services for such conditions. NHIS data are used widely throughout the Department of Health and Human Services (DHHS) to monitor trends in illness and disability and to track progress toward achieving many of the health objectives for the nation. This Revision includes updated Survey information and burden edits. The current design of the NHIS questionnaire, implemented in 2019, features a rotational schedule consisting of annual core, rotating core, emerging content, and sponsored content modules. This Non-Substantive Change Request is submitted to accommodate the addition/removal of questions on the Household Roster, Adult, Child, Re-Interview Survey Content Sections of the approved data collection. There is a very minor decrease in estimated burden hours.

US Code: 42 USC 242 Name of Law: Public Health Service Act
   PL: Pub.L. 107 - 347 511 Name of Law: Confidential Information Protection and Statistical Efficiency Act
  
None

Not associated with rulemaking

  88 FR 56823 08/21/2023
88 FR 78041 11/14/2023
Yes

  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 99,500 99,833 0 -333 0 0
Annual Time Burden (Hours) 37,591 37,891 0 -300 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Non-Substantive Change Request results in minor changes (decrease) to estimated burden hours for NHIS (0920-0214) data collection.

$47,000,000
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Yes
Jeffrey Zirger 404 639-7118 [email protected]

  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.
01/28/2026