State and Local Area Integrated Telephone Survey (SLAITS)

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
6811	State and Local Area Integrated Telephone Survey (SLAITS)	Migrated

ICR Details

OMB Control No: 0920-0406	ICR Reference No: 199702-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: State and Local Area Integrated Telephone Survey (SLAITS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/18/1997
	Date Received in OIRA: 02/07/1997
Terms of Clearance: OMB approves in concept a national core instrument based on this submission for five test sites (and potentially 14 sites) through 6/98 under the following conditions: 1) prior to pilot testing any instrument, the NCHS briefs OMB on this effort. In particular, the NCHS should discuss: a) alternative strategies considered by the Department satisfying health and welfare data needs at the state and local levels; b) state consultations and the extent to which this nationally-sponsored data collection will serve state/local needs as well as national needs; c) addi- tional nationally-sponsored (i.e. a new welfare module) and state supplemental demands (i.e. additional information items or over sampling of particular sub populations) that may be submitted for OMB clearance in 1998 and later; d) the expected characteristics of item and general nonresponse bias, based on experience with existing survey efforts including the NIS; e) alternative welfare data instruments considered and tested in addition to the SIPP and NHES; f) justification of the core instrument health insurance questions and the relationship of this effort to AHCPR's MEPS-IC integration; g) and the top five sites that will pursued in 1997. Based upon this briefing, OMB will determine whether pursuit of all 14 sites are appropriate, will approve/ amend/disapprove instruments for pilot testing, and will provide feedback on the appropriate procedure for pursuing PRA clearance for supplements to the core instrument and sampling frame; 2) Prior to fielding these instruments, the NCHS briefs OMB on the results of its pretest and any issues pertaining to nonresponse or data quality/validity that may result from combining instru- ments; and 3) Prior to proceeding beyond five test sites, the NCHS briefs OMB on the status of methodological issues described on pages 14 - 16 of its Supporting Statement. NCHS must resubmit this submission for OMB clearance before expanding SLAITS to all 50 States. Any request for expansion beyond the initial five sites will be accompanied by an OMB form 83-C to account for this additional burden.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1998	06/30/1998
Responses	5,500	0	0
Time Burden (Hours)	1,833	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The State and Local Area Integrated Telephone Survey will collect household data on health- and welfare-related status indicators to help States monitor changes in the health care delivery system and outcomes in human services at the State and local levels including health insurance coverage.

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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
State and Local Area Integrated Telephone Survey (SLAITS)

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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	5,500	0	0	5,500	0	0
Annual Time Burden (Hours)	1,833	0	0	1,833	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? 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

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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: 02/07/1997

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