View Information Collection Request (ICR) Package
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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:
201512-0920-002
Status:
Historical Active
Previous ICR Reference No:
201504-0920-008
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0214
Title:
National Health Interview Survey
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:
01/05/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/10/2015
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
01/31/2019
36 Months From Approved
12/31/2017
Responses
160,000
0
163,400
Time Burden (Hours)
49,000
0
47,633
Cost Burden (Dollars)
0
0
0
Abstract:
The Centers for Disease Control and Prevention and the National Center for Health Statistics is requesting a revision(s) of the National Health Interview Survey to; 1) implement a new sampling design, 2) conduct methodological projects (a follow-back survey, a pilot test of wearable devices, and activities pertaining to questionnaire redesign), and 3) modify selected sections of the 2016-2018 surveys through a non-substantive change request..
Authorizing Statute(s):
US Code:
42 USC 242
Name of Law: Public Health Service Act
PL:
Pub.L. 107 - 347 511
Name of Law: Confidential Information Protection and Statistical Efficiency 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:
80 FR 53157
09/02/2015
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 76291
12/08/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Family Core Questionnaire
NA
2016 Family Core Questionnaire
Methodological Projects - Adult Family Member
None
2015 Follow-back Survey
New Supplements and Core Changes
NA
2016 New Supplemental Questions
OMB Statement and Screener
None
2015 OMB Statement and Screener
Reinterview Survey
NA
2016 Reinterview Questionnaire
Sample Adult Core Questionnaire
NA
2016 Sample Adult Core Questionnaire
Sample Child Core Questionnaire
NA
2016 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
160,000
163,400
0
-3,400
0
0
Annual Time Burden (Hours)
49,000
47,633
0
1,367
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 burden is the result of a Revision to 0920-0214. The difference is the result of not screening for minority households in the new design. There will no longer be 5 minute doorstep interview(s) on up to 10,000 addresses per year, however there is an addition of burden in 2016 for methodological activities associated with the upcoming questionnaire redesign.
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:
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:
12/10/2015
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