OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NHBS Behavioral Assessment Survey (HET)

IC 196958 under ICR 202605-0920-010 · OMB 0920-0770.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

NHBS Behavioral Assessment Survey (HET)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0770 Behavioral Assessment for HET (English) MAY2026 Att 3d_Eng 29MAY2026.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-0770 Behavioral Assessment for HET (Spanish) MAY2026 Att 4d_Span 29MAY2026.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62811

3,500 0
   
Individuals or Households
 
   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 3,500 0 167 0 0 3,333
Annual IC Time Burden (Hours) 875 0 -848 0 0 1,723
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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