NCHS Questionnaire Design Research Laboratory

ICR 200711-0920-004

OMB: 0920-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2007-10-24
Supplementary Document
2007-10-25
IC Document Collections
ICR Details
0920-0222 200711-0920-004
Historical Active 200710-0920-008
HHS/CDC
NCHS Questionnaire Design Research Laboratory
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/21/2007
Retrieve Notice of Action (NOA) 11/15/2007
We understand that these questions, based on EU surveys, are being tested as part of an international project; approval of this testing does not indicate OMB support for the administration of these questions as part of a US survey effort.
  Inventory as of this Action Requested Previously Approved
02/28/2010 02/28/2010 02/28/2010
850 0 850
600 0 600
0 0 0

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.

US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  71 FR 25590 05/01/2006
71 FR 66784 11/16/2006
No

1
IC Title Form No. Form Name
QDRL Cross National Health Status English and Spanish Version

  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 850 850 0 0 0 0
Annual Time Burden (Hours) 600 600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,002,450
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Catina Conner 4046394775

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/15/2007


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