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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 ICR - OIRA Conclusion
OMB Control No:
0920-0856
ICR Reference No:
201207-0920-002
Status:
Historical Active
Previous ICR Reference No:
201203-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
National Quitline Data Warehouse
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:
10/01/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/10/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2015
36 Months From Approved
09/30/2012
Responses
564,621
0
759,112
Time Burden (Hours)
89,035
0
90,563
Cost Burden (Dollars)
0
0
0
Abstract:
CDC's Office on Smoking and Health requests a continuation of current OMB approval for operation of the National Quitline Data Warehouse (NQDW, OMB no. 0920-0856, exp. 7/31/2012). The NQDW was established in 2010 with funding provided by the American Recovery and Reinvestment Act of 2009. , CDC proposes minor changes to the original OMB clearance. Changes from the initial OMB approval include 1) implementation of an electronic reporting option for state submission of the NQDW Intake and 7-month Follow-up Questionnaires to CDC, 2) an increase in the estimated burden per response for the NQDW Quitline Services Online Survey, and 3) adjustments to the estimated number of respondents based on experience with the NQDW over the past two years.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: Public Health Service Act
PL:
Pub.L. 111 - 148 4002
Name of Law: Patient Protection and Affordable Care Act PPHF
PL:
Pub.L. 111 - 5 1
Name of Law: American Recovery and Reinvestment Act of 2009
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:
77 FR 20400
04/04/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 40359
07/09/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Follow-up for Callers who Received a Quitline Service
F1
NQDW 7-Month Follow-Up questionnaire
Instructions for submitting caller intake and follow up
Intake Information for Callers who Contact the Quitline for Personal Use
E1(a)
NQDW Intake Questionnaire
Intake Information for Callers who Contact the Quitline for Someone Else
E1(b)
NQDW Intake Questionnaire Subset Final
Quitline Services Questionnaire
G1, GI (2)
Quitline Serivces Online Survey
,
Quitline Services Online Survey
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
564,621
759,112
0
53
-194,544
0
Annual Time Burden (Hours)
89,035
90,563
0
53
-1,581
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
CDC/OSH received ARRA funding to standardize quitline data collection across states, and established the National Quitline Data Warehouse. This activity is being continued and expanded with ACA/PPHF funding. Although there is an increase in burden due to an increase in the number of quitline callers, this ICR has an overall decrease due to a technical correction of a previous error. In addition, there is an increase in burden hours due to an increase in the estimated burden per response for one information collection component.
Annual Cost to Federal Government:
$2,085,301
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?
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Yes
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Catina Conner 4046394775
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:
07/10/2012
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