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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 Generic ICR - OIRA Conclusion
OMB Control No:
0920-0222
ICR Reference No:
201002-0920-006
Status:
Historical Active
Previous ICR Reference No:
200902-0920-005
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
NCHS Questionnaire Design Research Laboratory
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/01/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/17/2010
Terms of Clearance:
CDC will continue to submit individual collections under this generic clearance to OMB. OMB will provide feedback on the individual collections within ten working days, whenever possible, as is currently the case. Standard remuneration of respondents is $40.00. Higher remunerations may be requested with justification for difficult recruitments, focus groups, etc.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2013
36 Months From Approved
02/28/2010
Responses
850
0
850
Time Burden (Hours)
1,800
0
600
Cost Burden (Dollars)
0
0
0
Abstract:
This submission describes proposed research activities of the National Center for Health Statistics (NCHS) Questionnaire Design Research Laboratory. Survey specific research activities include questionnaire testing and development for NCHS, CDC, other federal agencies, or other academic or professional institutions. The purpose and use of collecting this information fall into five categories: 1) Development and testing of specific survey questionnaires; 2) Research on the cognitive and interpretive aspects of survey methodology; 3) Research on human-computer interfaces/usability; 4) Pilot household interviewing; and 5) Studies of the optimal design and presentation of statistical graphical and textual material. Methods for data collection include interviewer administered, self-administered, telephone, Computer Assisted Personal Interviewing (CAPI) and Computer Assisted Self-Interviewing (CASI), and web-based questionnaires including: cognitive interviewing, focus groups, usability testing, and pilot household interviews.
Authorizing Statute(s):
US Code:
42 USC 242k
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
74 FR 48077
09/21/2009
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 3737
01/22/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
18
IC Title
Form No.
Form Name
ACASI field interviews for NHIS
none
ACASI field interviews
Asthma Management Supplement
none
2012 Asthma Supplement
Conducting Testing on NHIS and NHANES Questions
No number
Testing NHIS and NHANES Questions
Evaluation of the Internet Version of the Respiratory Health of Healthcare Workers Questionnaire
Attachment 1
Respiratory Health Internet Version
Measuring Trust in Official Statistics and Complementary and Alternative Medicine for NHIS
none, none
Measuring Trust - questions
,
CAM - interview guide
NAMCS and NHAMCS Patient Record Evaluation
none
Patient Record Evaluation
NHIS 575 ACASI Field Interviews
none
575 ACASI Field Test
NHIS Voice, Swallowing, Speech, Language and NHANES Creatine and Lifestyle Questions
none
NHIS Voice, Swallowing, Speech and Language
QDRL - 2013 NHIS
none
NHIS 2013 questions
QDRL - ACASI testing for sexual identity question on NHIS
none
Att 2 - Cognitive testing interview guide
QDRL - NCHS Website Usability Testing
QDRL - SLAITS National Survey of Children's Health
none
National Survey of Children's Health
QDRL - Spanish version of ACASI testing for sexual identity questions
none
Spanish version - ACASI testing of sexual identity questions
QDRL - questions for National HIV Behavioral Surveillance system and on gender
none, none
NHBS questions for cognitive testing
,
NHBS screeners
QDRL testing on NAMCS physician follow-up, NHIS Complementary and Alternative Medicine, and Spanish version of HIV behavioral surveillance
none, none, none, none, none
Physican Workflow EHR no Adoption Survey
,
Physican Workflow EHR some Adoption Survey
,
Child Component of CAMS
,
NHBS - Spanish version for MSM
,
NHBS - Spanish screener
Questionnaire Design Research Laboratory - Disability Study
none
QDRL - Disability Study
Respiratory Health of Healthcare Workers and Blood Donor History Questionnaires
none, none
Survey on Respiratory Health
,
Blood Donor History Questionnaire
Testing Long Term Care Questions
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
850
850
0
0
0
0
Annual Time Burden (Hours)
1,800
600
0
0
1,200
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:
$1,002,450
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Thelma Sims 4046394771
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:
02/17/2010
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