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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:
0920-0214
ICR Reference No:
201503-0920-009
Status:
Historical Active
Previous ICR Reference No:
201412-0920-004
Agency/Subagency:
HHS/CDC
Agency Tracking No:
15VJ
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:
04/24/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/24/2015
Terms of Clearance:
CDC/NCHS may use the non-substantive change mechanism to modify existing questions, including those designed to add depth/additional detail and cycle in and out supplemental modules that have been used in the past years (with modest updates). If new supplemental modules, new questionnaire instruments, or modifications to the sample are anticipated, a full revision of the ICR package must be submitted to OMB. The results of the incentive experiment should be shared with OMB when available.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2017
12/31/2017
12/31/2017
Responses
167,000
0
167,000
Time Burden (Hours)
48,833
0
48,833
Cost Burden (Dollars)
0
0
0
Abstract:
This request is for a non-substantive change to conduct a randomized controlled experiment to examine the impact of incentives on response rates , nonresponse bias and other data quality indicators.
Authorizing Statute(s):
US Code:
42 USC 242
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 52343
09/03/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 71432
12/02/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Family Core Questionnaire
None
2015 Family Core Questionnaire
Followback Survey Questionnaire
None
2015 FollowBack Survey Questionnaire
New Supplements and Core Changes
None
2015 New Supplements and Core Changes
OMB Statement and Screener
None
2015 OMB Statement and Screener
Reinterview Survey
None
2015 Reinterview Survey
Sample Adult Core Questionnaire
None
2015 Sample Adult Core Questionnaire
Sample Child Core Questionnaire
None
2015 Sample Child Core Questionnaire
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
167,000
167,000
0
0
0
0
Annual Time Burden (Hours)
48,833
48,833
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:
Changes or adjustments in this Revision are the result of modifications to selected sections of the National Health Interview Survey (NHIS)
Annual Cost to Federal Government:
$42,000,000
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]?
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)?
No
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:
03/24/2015
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