Main Survey

National Survey of Health Information and Communication

OMB: 0910-0828

IC ID: 224064

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey Landing page
Other-Survey Contact Letter
Other-Survey Contact Postcard
Other-Survey Contact Letter 2
Other-Survey Contact Letter 3
Other-Survey Contact Postcard 2
Information Collection (IC) Details

View Information Collection (IC)

Main Survey CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Appendix A Survey.pdf Yes Yes Fillable Fileable
Other-Survey Landing page Appendix B Landing Page Text.pdf Yes Yes Fillable Fileable
Other-Survey Contact Letter Appendix C Contact 1_Letter.pdf Yes Yes Fillable Fileable
Other-Survey Contact Postcard Appendix D Contact 2_Postcard.pdf Yes Yes Fillable Fileable
Other-Survey Contact Letter 2 Appendix E Contact 3_Letter.pdf Yes Yes Fillable Fileable
Other-Survey Contact Letter 3 Appendix F Contact 4_Letter.pdf Yes Yes Fillable Fileable
Other-Survey Contact Postcard 2 Appendix G Contact 5_Postcard.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

5,042 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 5,042 0 0 0 0 5,042
Annual IC Time Burden (Hours) 1,888 0 0 0 0 1,888
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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