NCHS LABORATORY-BASED QUESTIONNAIRE RESEARCH

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
110907	NCHS LABORATORY-BASED QUESTIONNAIRE RESEARCH	Migrated

ICR Details

OMB Control No: 0920-0222	ICR Reference No: 199101-0920-003
Status: Historical Active	Previous ICR Reference No: 199001-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS LABORATORY-BASED QUESTIONNAIRE 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: 04/19/1991
	Date Received in OIRA: 01/22/1991
Terms of Clearance: In approving this survey, NCHS to do the following in connection with the developmental disabilities questionnaire: --immediately submit a description of the plan to recruit participants for the testing of the developmental disabilities questionnaire --move the section on categorical conditions to the beginning of the questionnaire. Based on the types of conditions, NCHS may be able to more effectively target questions (e.g., for those with mental disabilities only, it may be possible to reduce the detail of the questions asked about physical capabilities.) --seek the advice/consult with the Department of Education/NIDRR and the Administration on Children and Families (formerly OHDS) in HHS on any supplement for inclusion in the 1993 NHIS.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1992	06/30/1992	06/30/1991
Responses	350	0	300
Time Burden (Hours)	350	0	300
Cost Burden (Dollars)	0	0	0

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Abstract: QUESTIONNAIRES FOR TWO NCHS SURVEYS (NATIONAL HEALTH INTERVIEW SURVEY AND NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY) WILL BE DEVELOPE USING LABORATORY METHODS WHICH COMBINE THE TECHNIQUES OF COGNITIVE RESEARCH AND SURVEY RESEARCH TO REDUCE MEASUREMENT ERRORS.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NCHS LABORATORY-BASED QUESTIONNAIRE RESEARCH

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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	350	300	0	50	0	0
Annual Time Burden (Hours)	350	300	0	50	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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

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Common Form ICR:  No

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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: 01/22/1991

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