The Second Longitudinal Study of Aging (LSOA II)

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
6819	The Second Longitudinal Study of Aging (LSOA II)	Migrated

ICR Details

OMB Control No: 0920-0411	ICR Reference No: 199702-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: The Second Longitudinal Study of Aging (LSOA II)
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: 02/12/1997
Terms of Clearance: Approved for use through 10/98 under the condition that no later than 6/97 the NCHS submits to OMB: 1) an extensive crosswalk between the LSOA II and other HHS surveys of the elderly popula- tion (i.e. the AHEAD, NLTCS, and MCBS.); 2) results of the 50 person pretest as soon as it has been completed and a summary of any changes that need to be made in the instrument and survey process; and 3) an estimate of the expected attrition in the 1994 SOA sample due to death or other factors and a more detailed estmate of any attrition expected during the various phases of the LSOA II.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/1998	10/31/1998
Responses	10,037	0	0
Time Burden (Hours)	8,099	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The LSOA II is a second generation survey designed to 1) replicate portions of the first LSOA in order to track changes in aging and health over time, and 2) to provide a mechanism for monitoring the impact of changes in Medicare and Medicaid on the elderly. Data from the LSOA II will enable policy makers to plan and evaluate public health prevention programs for the elderly and prepare estimates of future burden and health care costs. The respondent universe for the LSOA II data collection consists of approximately 10,037 respondents, 70 years of age or older at the time of the baseline interview in 1994.

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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
The Second Longitudinal Study of Aging (LSOA II)

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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	10,037	0	0	10,037	0	0
Annual Time Burden (Hours)	8,099	0	0	8,099	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: 02/12/1997

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