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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0222
ICR Reference No:
200312-0920-001
Status:
Historical Active
Previous ICR Reference No:
200012-0920-003
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
NCHS Questionnaire Design Research Laboratory
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/14/2004
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/04/2003
Terms of Clearance:
NCHS will continue to submit individual requests via email to OMB of plans to conduct collections under this generic clearance. OMB will provide feedback via email within 10 days of each request. Approval is NOT given to pay $50 for regular, routine cognitive laboratory interviews. Rather, NCHS is permitted to offer a standard remuneration of $40; requests to provide a higher remuneration must be fully justified and will be evaluated on a case-by-case basis. NCHS shall provide an annual summary of prior year test activities that were conducted under this clearance. This summary shall include a description of the surveys tested, the research methods used, the results, the number of respondents included in each test, and the renumeration paid. Additional information such as demographic profiles of respondents and recruitment methods would be welcome.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2007
01/31/2007
02/29/2004
Responses
460
0
550
Time Burden (Hours)
600
0
600
Cost Burden (Dollars)
0
0
0
Abstract:
This submission describes proposed activities of the NCHS Questionnaire Design Research Laboratory. Survey specific research activities include questionnaire testing and development for NCHS, other CDC CIOs, and other Federal agencies. General methodological research on the cognitive aspects of survey methodology and studies of optimal design for the presentation of health data will be pursued. Methods for data collection include cognitive interviewing, focus groups, pilot household interviews, and Internet surveys.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
NCHS Questionnaire Design Research Laboratory
ICR Summary of Burden
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
460
550
0
-90
0
0
Annual Time Burden (Hours)
600
600
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
12/04/2003
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