State and Local Area Integrated Telephone Survey (SLAITS)

Forms and Documents

Document Name	Status
SLAITS for 2009-2010 National Survey of Children with Special Health Care Needs Form	New
SS Part B SLAITS 0920_0406 vers2.doc Supporting Statement B	2008-04-03
Attachment 1 Legislation.doc Supplementary Document	2007-10-30
Attachment 5 Additional Backup Material.doc Supplementary Document	2007-10-30
Attachment 8 Draft Email.doc Supplementary Document	2007-10-30
Attachment 7 ERB Letter.doc Supplementary Document	2007-10-30
Attach 6 Comment to 60-Day FRN.doc Supplementary Document	2007-09-25
0920_0406 final Attach 2 60 day FR notice.pdf Supplementary Document	2007-09-25
Attachment 4 Ltr to Respondents.doc Supplementary Document	2007-10-30
SS Part A SLAITS 0920_0406 vers2.doc Supporting Statement A	2008-04-03

IC Document Collections

IC ID	Document Title	Status
188592	SLAITS for 2009-2010 National Survey of Children with Special Health Care Needs Form	New
182771	Developmental Screener/Survey Other-Attachment 3B Developmental Screener & Survey	New
182770	Developmental Screener Other-Attachment 3A Developmental Screener	New

ICR Details

OMB Control No: 0920-0406	ICR Reference No: 200711-0920-007
Status: Historical Active	Previous ICR Reference No: 200706-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: State and Local Area Integrated Telephone Survey (SLAITS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/09/2008
	Date Received in OIRA: 11/19/2007
Terms of Clearance: Surveys covering topics/concepts not included in the list of examples (see the supporting statement) must be submitted as substantive changes and require publication of a FR notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved	04/30/2008
Responses	595,348	0	620,325
Time Burden (Hours)	55,190	0	55,190
Cost Burden (Dollars)	0	0	0

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Abstract: The State and Local Area Integrated Telephone Survey (SLAITS) mechanism, developed by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS) supplements current national data collection strategies by providing in-depth national, state, and local area data. This flexible population-based survey mechanism is designed to collect data rapidly and cost-effectively on a broad range of topics, and addresses a critical need for subnational data. This request is for a generic three year clearance for this package. No additional burden is requested.

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Authorizing Statute(s): US Code: 42 USC 306 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:
	72 FR 11886	03/14/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 61170	10/29/2007
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Developmental Screener
SLAITS for 2009-2010 National Survey of Children with Special Health Care Needs	none, none	Survey questionnaire ,   Screener for NS-CSHCN
Developmental Screener/Survey

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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	595,348	620,325	0	-24,977	0	0
Annual Time Burden (Hours)	55,190	55,190	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of respondents decreased from 620,325 to 595,348. There is no change in burden hours.

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Annual Cost to Federal Government: $6,000,000

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: 11/19/2007

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