NCHS Questionnaire Design Research Laboratory

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part B.doc	Supporting Statement B	Uploaded 2006-11-08	Available
QDRL- 2007 OMB-Attachments082906.doc	Supplementary Document	Uploaded 2006-11-16	Available
QDRL-OMB-2007 Supporting Statement-100406.doc	Supporting Statement A	Uploaded 2006-11-08	Source copy available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181536	QDRL- Part 2 10-day letter	Instruction	New
180128	NCHS Questionnaire Design Research Laboratory	Instruction	New
180013	NCHS Questionnaire Design Research Laboratory	Instruction	New

ICR Details

OMB Control No: 0920-0222	ICR Reference No: 200612-0920-007
Status: Historical Active	Previous ICR Reference No: 200606-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS Questionnaire Design Research Laboratory
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: 02/09/2007
	Date Received in OIRA: 12/21/2006
Terms of Clearance: Please notify the NCHS desk officer via email when a new IC is submitted to ROCIS to ensure prompt attention. Each IC request should include a justification for the chosen incentive (unless it is equivalent to or less than the pre-approved "standard" for focus groups and cognitive interviews).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	36 Months From Approved	02/28/2007
Responses	850	0	460
Time Burden (Hours)	600	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: This submission describes proposed activities of the NCHS Questionnaire Design Research Laboratory. Survey specific research activities include questionnaire testing and development for NCHS, other CDC CIOs, and other Federal agencies. General methodological research on the cognitive aspects of survey methodology and studies of optimal design for the presentation of health data will be pursued. Methods for data collection include cognitive interviewing, focus groups, pilot household interviews, and Internet surveys.

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Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 25590	05/01/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 66784	11/16/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
NCHS Questionnaire Design Research Laboratory
QDRL- Part 2 10-day letter
NCHS Questionnaire Design Research Laboratory

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ICR Summary of Burden

table that charts list 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	850	460	0	390	0	0
Annual Time Burden (Hours)	600	600	0	0	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: No

Burden Reduction Due to:

Short Statement: The National Center for Health Statistics Questionnaire Design Research Laboratory (QDRL) (OMB No. 0920-0222) seeks approval to conduct research to evaluate disability questions for use on a variety of surveys. This data collection primarily uses cognitive interviewing methodology to identify and correct questionnaire flaws, e.g., questions which are vague or ambiguous, cannot be answered readily or accurately by the participant, or otherwise contribute to the non-sampling errors of the survey.

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Annual Cost to Federal Government: $1,002,450

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: 11/21/2006

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