2023 NHIS Roster Questionnaire

[NCHS] National Health Interview Survey

Att 9a - 2023 NHIS Roster Questionnaire

Household Roster

OMB: 0920-0214

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0214 can be found here:

2025-05-28 - No material or nonsubstantive change to a currently approved collection
2024-11-13 - No material or nonsubstantive change to a currently approved collection

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