View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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Legal Statutes
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FR Notices/Comments
IC List
Burden
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Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0920-0214
ICR Reference No:
200811-0920-004
Status:
Historical Active
Previous ICR Reference No:
200808-0920-005
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
National Health Interview Survey
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/29/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/28/2008
Terms of Clearance:
Prior terms continue. Health IT questions are approved for one administration only as further development is needed to determine the most useful questions to be asking.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2009
12/31/2009
12/31/2009
Responses
119,600
0
119,600
Time Burden (Hours)
28,017
0
28,017
Cost Burden (Dollars)
0
0
0
Abstract:
The National Health Interview Survey collections demographic and health-related infromation. This change seeks approval to cycle out questions on asthma, oral health, vision, heart disease, cancer screening, immunization, and dizziness, balance problems and falls fielded in 2008, and to cycle in and update questions on carbon monoxide detectors, stroke, arthritis, health care workers, and the use of the internet to learn about health information or to communicate with health care providers for 2009. We also seek approval for revised questions in the reinterview questionnaire used to monitor survey protocols.
Authorizing Statute(s):
US Code:
42 USC 242
Name of Law: Public Health Service Act
PL:
Pub.L. 101 - 445 301
Name of Law: The National Nutrition Monitoring and Related Research Act of 1990
PL:
Pub.L. 104 - 170 136
Name of Law: The Food Quality Protection Act of 1996
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:
71 FR 36096
06/23/2006
30-day Notice:
Federal Register Citation:
Citation Date:
71 FR 55476
09/22/2006
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
NHIS 2007 Adult Core Questionnaire
Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned
Adult Identification
,
Adult Health Behaviors
,
Adult Health Status and Limitations
,
Adult Socio-Demographic
,
Adult Conditions
,
Adult Access to Health Care and Utilization
,
Adult AIDS Knowledge and Attitudes
NHIS 2007 Adult Topical Module
NHIS 2007 Child Core Questionnaire
Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned
Child Health Status and Limitations
,
Child Access to Health Care and Utilization
,
Child Identification
,
Child Mental Health Brief Questionnaire
,
Child Mental Health Services
,
Child Influenza Immunization
NHIS 2007 Child Topical Module
Not Assigned
Child Topical Module
NHIS 2007 Family Core Questionnaire
Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned
Family Identification
,
Family Health Status and Limitations
,
Family Injury and Poisoning
,
Family Access to Health Care and Utilization
,
Family Health Insurance
,
Family Socio-Demographic
,
Family Income
,
Recontact
NHIS 2007 Reinterview Survey
Not Assigned
Reinterview Survey
NHIS 2007 Screener Questionnaire
None Assigned, None Assigned
Screener Questionnaire
,
Screener Survey
NIS 2008 Child Immunization Questionnaire
CDC 64.122
National Immunization Survey
NIS 2008 Teen Immunization Questionnaire
CDC 64.122
National Immunization Survey - Teen
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
119,600
119,600
0
0
0
0
Annual Time Burden (Hours)
28,017
28,017
0
0
0
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:
$28,000,000
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)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Maryam Daneshvar 4046394604
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:
11/28/2008
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