Health Information National Trends Survey II (HINTS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Health Information National Trends Survey II (HINTS)	Form and Instruction	Modified	Available
Form 1 Health Information National Trends Survey II (HINTS)	Form and Instruction	New	Available
Form 1 Health Information National Trends Survey II (HINTS)	Form and Instruction	New	Available
HINTS B.pdf	Supporting Statement B	Uploaded 2007-07-25	Available
HINTS04 Question.pdf	Supplementary Document	Uploaded 2007-07-25	Available
HINTS 2004 Attachments.pdf	Supplementary Document	Uploaded 2007-07-25	Available
HINTS 2004.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix Q - Statistical Consultants.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix P - Mode Effects.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix O - Response Rates.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix L - Sample Design.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix K - Theoretical Framework.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix H - IRB Exemption.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix G - Confidentiality Agreement.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix F - Privacy Act.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix E - External Consultants.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix D-revised.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix C.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Appendix B.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Telephone survey letters.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Explanation of Any Payment or Gift to Respondents revised.pdf	Supplementary Document	Uploaded 2007-07-25	Available
References.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Revised Estimate of Response Burden.pdf	Supplementary Document	Uploaded 2007-07-25	Available
Supporting Statement - Section A revised.pdf	Supporting Statement A	Uploaded 2007-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7462	Health Information National Trends Survey II (HINTS)	Form and Instruction	Modified
181324	Health Information National Trends Survey II (HINTS)	Form and Instruction	New
181323	Health Information National Trends Survey II (HINTS)	Form and Instruction	New

ICR Details

OMB Control No: 0925-0538	ICR Reference No: 200707-0925-001
Status: Historical Active	Previous ICR Reference No: 200407-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Health Information National Trends Survey II (HINTS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/02/2007
	Date Received in OIRA: 07/26/2007
Terms of Clearance: This ICR is approved on the understanding that NIH will report back to OMB (on such things like results of experiments, response rates, nonresponse rates, etc.) after completing the pilot and before initiating the full-scale survey. Before initiating the full-scale survey, NIH will submit either a nonsubstantive change request or a revision, as appropriate. NIH will also explore the effect on response rates, among the Hispanic/Latino ethnic population, of not having fully bilingual materials available. NIH will consider providing fully bilingual materials for the 2009 round of HINTS.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2007	11/30/2008	11/30/2007
Responses	10,823	0	10,489
Time Burden (Hours)	2,510	0	4,036
Cost Burden (Dollars)	0	0	0

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Abstract: HINTS is intended to be a biennial, cross-sectional probability survey of the U.S. civilian adult population. The purpose of funding a national survey to assess health communication processes is to provide communication researchers with unbiased population estimates of the prevalence of cancer-relevant knowledge, attitudes, and behaviors.

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Authorizing Statute(s): US Code: 42 USC 285a 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 62597	10/26/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 15703	04/02/2007
Did the Agency receive public comments on this ICR? Yes

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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
Health Information National Trends Survey II (HINTS)	1, 1	Survey ,   Survey
Health Information National Trends Survey II (HINTS)	1, 2	Survey ,   Survey
Health Information National Trends Survey II (HINTS)	1, 2	Survey ,   Survey

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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	10,823	10,489	0	334	0	0
Annual Time Burden (Hours)	2,510	4,036	0	-1,526	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: Changing Forms

Short Statement: This study represents a new collection of information that will provide data for comparison with the previous HINTS 03 and HINTS 05.

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Annual Cost to Federal Government: $758,448

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: 07/26/2007

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