View Information Collection Request (ICR) Package
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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:
0920-0822
ICR Reference No:
201410-0920-019
Status:
Historical Active
Previous ICR Reference No:
201305-0920-005
Agency/Subagency:
HHS/CDC
Agency Tracking No:
19428
Title:
The National Intimate Partner and Sexual Violence Survey (NISVS)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
02/18/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/10/2014
Terms of Clearance:
Approval is provided for the calendar year 2015 data collection, contingent on OMB’s understanding that CDC will: a) convene a panel of experts in survey methods to obtain advice regarding how to address design concerns raised by the National Research Council; b) continue to collaborate with the Bureau of Justice Statistics; c) submit a full revision request for the 2016 data collection to reflect anticipated changes to the questionnaire to reduce burden and increase utility, and d) submit a full revision in 2017 that begins to phase in changes recommended by panel of experts. The steps leading up to the goal of fielding a new design by 2019 are described in the supplemental document entitled “Timeline.” The 2016 ICR revision should include a summary of the issues raised and the options recommended for consideration by the expert panel.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2016
36 Months From Approved
06/30/2014
Responses
97,500
0
54,096
Time Burden (Hours)
9,458
0
6,078
Cost Burden (Dollars)
0
0
0
Abstract:
The National Intimate Partner and Sexual Violence Survey is an ongoing, nationally representative survey to assess experiences of intimate partner violence, sexual violence and stalking among adults in the US. It measures lifetime victimization for these types of violence as well as in the previous 12 months.
Authorizing Statute(s):
US Code:
42 USC 241
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:
79 FR 21931
04/18/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 62627
10/20/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
2014 National Intimate Partner and Sexual Violence Screen
None, None
2014 National Intimate Partner and Sexual Violence Screen/Survey-English
,
2014 National Intimate Partner and Sexual Violence Screen/Survey-Spanish
2014 National Intimate Partner and Sexual Violence Survey
None, None
2014 National Intimate Partner and Sexual Violence Screen/Survey-Spanish
,
2014 National Intimate Partner and Sexual Violence Screen/Survey-English
National Intimate Partner and Sexual Violence Survey
none, none
NISVS
,
NISVS - Spanish version
,
NISVS
,
NISVS - Spanish version
National Intimate Partner and Sexual Violence Survey - Screener
none, none
NISVS
,
NISVS - Spanish version
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
97,500
54,096
0
43,404
0
0
Annual Time Burden (Hours)
9,458
6,078
0
3,380
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Change in this request is due to full implementation of the previous pilot-tested information collection instrument.
Annual Cost to Federal Government:
$2,585,332
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]?
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?
Uncollected
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:
11/10/2014
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