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View Information Collection (IC) List
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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:
201903-0920-001
Status:
Historical Active
Previous ICR Reference No:
201509-0920-013
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0856
Title:
National Quitline Data Warehouse
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 with change
Conclusion Date:
10/07/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/30/2019
Terms of Clearance:
Approved consistent with the understanding that data from tobacco users as gathered by this collection is limited to only those tobacco users who receive services from funded state telephone quitlines. Information gathered are thus not representative of, or generalizable to, the general US population of tobacco users, but only those who contact their state quitlines regarding cessation support services. Before this ICR is renewed, CDC should continue to work with NAQC and other stakeholders to minimize the burden of this data collection. Additionally, CDC should explore collecting data on non-phone enrollees.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2022
36 Months From Approved
10/31/2019
Responses
504,996
0
506,656
Time Burden (Hours)
82,440
0
80,709
Cost Burden (Dollars)
2,225,892
0
0
Abstract:
Since 2010, the National Quitline Data Warehouse (NQDW) has collected a core set of information from the 50 U.S. states, the District of Columbia, Guam, and Puerto Rico regarding what services telephone quitlines offer to tobacco users as well as the number and type of tobacco users who receive services from telephone quitlines.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 4002
Name of Law: Patient Protection and Affordable Care Act PPHF
US Code:
42 USC 241
Name of Law: Public Health Service Act
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:
83 FR 55548
11/06/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 11100
03/25/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
ASQ Intake Questionnaire (Chinese, Korean, Vietnamese - Subset)
none, none, none
ASQ Intake questionnaire - Chinese - subset
,
ASQ Intake Questionnaire - Korean - subset
,
ASQ Intake Questionnaire - Vietnamese - subset
Asian Smokers Quitline (ASQ) Intake Questionnaire (Complete Chinese, Korean, Vietnamese)
none, none, none
ASQ Questionnaire - Chinese
,
ASQ Questionnaire - Korean
,
ASQ Questionnaire - Vietnamese
Asian Smokers Quitline (ASQ) Seven-Month Follow-Up Questionnaire
none, none, none, none
ASQ 7 month follow-up - English
,
ASQ 7 month follow-up - Chinese
,
ASQ 7 month follow-up - Korean
,
ASQ 7 month Follow-up - Vietnamese
NQDW Intake Questionnaire (English complete) - Callers who contact Quitline for themselves
none
Intake Questionnaire
NQDW Intake Questionnaire (English subset) - Callers who contact Quitline on behalf of someone else
none
NQDW Intake Questionnaire Subset
NQDW Quitline Services Survey
none
Quitline Services Survey
Submission of NQDW ASQ Seven-Month Follow-Up Electronic Data File to CDC
Submission of NQDW Intake Questionnaire Electronic Data File to CDC
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
504,996
506,656
0
-108
-1,552
0
Annual Time Burden (Hours)
82,440
80,709
0
-36
1,767
0
Annual Cost Burden (Dollars)
2,225,892
0
0
578,791
1,647,101
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Slight changes in burden are due to new estimates of the number of respondent based on recent participation in the program.
Annual Cost to Federal Government:
$1,411,313
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
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:
Shari Steinberg 404 639-4942 sxw2@cdc.gov
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:
03/30/2019