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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:
202107-0920-010
Status:
Historical Active
Previous ICR Reference No:
201807-0920-004
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0222
Title:
Collaborating Center for Questionnaire Design and Evaluation Research
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/27/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/16/2021
Terms of Clearance:
CDC will continue to submit individual collections under this generic clearance to OMB. OMB will strive to provide feedback on the individual collections within ten working days, whenever possible, as is currently the case.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2024
36 Months From Approved
09/30/2021
Responses
66,375
0
56,100
Time Burden (Hours)
28,365
0
23,350
Cost Burden (Dollars)
255,947
0
0
Abstract:
This generic clearance request encompasses general questionnaire development, pre-testing, measurement-error reduction activities to be carried out in 2021-2024 in the Division of Research and Methodology, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The revision request consists of an increase in burden hours for the next 3-year approval period. The difference is due to an anticipated increase in the number and size of projects being undertaken.
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:
86 FR 28357
05/26/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 44728
08/13/2021
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
2022/2023 Research and Development Survey (RANDS) and Cognitive Interviews
None, None, None
2022/2023 RANDS Survey and Cognitive Interviews
,
Respondent Data Collection Sheet
,
Screening Scripts
CCQDER - Cognitive Testing Questions for the 2022 NAMCS
0920-0222, 0920-0222, 0920-0222, 1a, 1b, 0920-0222
Telephone Screening Script – Respondent recruited from newspaper advertisement/flyer
,
Adult Informed Consent Form for
,
Respondent Data Collection Sheet
,
Respondent Debriefing Interview (virtual interviews)
,
Questionnaire
,
Questionnaire
CCQDER's GEMS
0920-0222, 0920-0222, 0920-0222
Screener Script
,
Questions to be Tested
,
Respondent Data Collection Sheet
Gender X Marker
n/a, n/a, n/a
Screening Questions for Potential Respondents
,
Informed Consent
,
Respondent Data Collection Sheet
NHIS 2023 Indicators Cognitive Interview Evaluation Study
0920-0222, 0920-0222, 0920-0222
Cognitive Testing Questions
,
Screening Form
,
Respondent Data Collection Sheet
NISVS Validity Study, Round 2
0920-0222, 0920-0222, 0920-0222
Questions to be Tested
,
Screener
,
Respondent Data Collection Sheet
PRAMS Phase 9 (Subset) Questionnaire
0920-0222, 0920-0222, 0920-0222, 0920-0222
Sample screening script for respondent contact by CCQDER Recruiter/Staff for Cognitive Evaluation of PRAMS 9 Questions
,
Questions to be Cognitively Tested (English Version)
,
Respondent Data Collection Sheet
,
Sample Script for Respondent Follow-up Discussion with CCQDER Recruiter/Staff for Cognitive Evaluation and Analysis of PRAMS Phase 9 Questions
Validity Study of IDD Questions_ IDD Round 2
0920-22BF
Att 5a-5c Respondent Data Collection Sheet
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
66,375
56,100
0
10,275
0
0
Annual Time Burden (Hours)
28,365
23,350
0
5,015
0
0
Annual Cost Burden (Dollars)
255,947
0
0
255,947
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:
The increase in burden hours is due to an anticipated increase in the number and size of projects being undertaken. The increase in burden cost is an administrative correction. Burden cost was omitted from the previous submission in ROCIS.
Annual Cost to Federal Government:
$3,178,325
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.
Yes
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.
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)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Renita Macaluso 770 488-6458 arp5@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:
08/16/2021