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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:
202212-0920-003
Status:
Active
Previous ICR Reference No:
202107-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0222
Title:
[NCHS] 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:
01/27/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/21/2022
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
01/31/2026
36 Months From Approved
09/30/2024
Responses
215,775
0
66,375
Time Burden (Hours)
65,715
0
28,365
Cost Burden (Dollars)
1,840,677
0
255,947
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 due to an anticipated increase in the number of RANDS Methodological projects during the approval period.
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:
87 FR 59425
09/30/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 76049
12/12/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
GenIC for CCQDER's RANDS 9
1
qustionnaire
[NCHS] CCQDER - NISVS
0920-0222, 0920-0222, 0920-0222
NISVS Screener
,
NISVS Questionnaire
,
{NISVS] Respondent Data Collection Sheet (No Form)
[NCHS] CCQDER's Caregiver
n/a, n/a, n/a
Caregiving Questions
,
Caregiving Screening Script
,
Respondent Data Collection Sheet
[NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH
0920-0222-23EQ, 0920- 0222-23EQ, 0920-0222-23EQ
Attachment 5a-5b Respondent Data Collection Sheet 4.28.23
,
Questions
,
Screening Script
[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research
0920-0222-23EC
RANDS 8 Questionnaire
[NCHS] Evaluation of Revised Questions on Cannabis Use and Experiences
n/a, n/a, n/a
Cannabis Questions to be Cognitively Tested
,
Cannabis Screening Script
,
Cannabis Data Collection Sheet
[NCHS] Point of Care Checklist Subproject 1: Conducting In-depth Interviews Among Those with Intellectual and Developmental Disabilities
n/a, n/a, n/a
Telephone Screening Script
,
Interviewer's Guide
,
Data Collection Sheets
[NCHS] RANDS 10 and Accompanying Cognitive Interviews (24CL)
0920-0222, 0920-022 (24CL), 0920-0222 (24CL)
CCQDER RANDS 10 Questionnaire
,
Telephone Screening Script
,
Respondent Data Collection Sheet
[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions
0920-0222, 0920-0222, 0920-0222
Attachment 6 Respondent Data Collection Sheet
,
ADHD Attachment 1 Questions to be tested
,
Attachment 5 Informed Consent ADHD
[NCHS]CCQDER's NHANES Feeding Practices
0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI
Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN
,
Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN
,
Attachment 4a - Screening script NHANES 11.16.23 CLEAN
,
Attachment 4b- Screening script NHANES 11.16.23 CLEAN
,
Attachment 5a & 5b - Informed Consent NHANES 11.16.23
,
Attachment 3a- NHANES English Advertisement
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
215,775
66,375
0
149,400
0
0
Annual Time Burden (Hours)
65,715
28,365
0
37,350
0
0
Annual Cost Burden (Dollars)
1,840,677
255,947
0
1,584,730
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:
Revision for 0920-0222 requests an increase in burden hours for the next 3-year approval period due to an anticipated increase in the number of RANDS Methodological projects during the approval period.
Annual Cost to Federal Government:
$3,223,325
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
12/21/2022