Health Information National Trends Survey 2007

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	Modified	Repair queued
Form 1 Health Information National Trends Survey II (HINTS)	Form and Instruction	Modified	Available
SSB revised 12-07.pdf	Supporting Statement B	Uploaded 2008-02-15	Available
Appendix O_statisticians consulted.pdf	Supplementary Document	Uploaded 2008-02-15	Available
HINTS 2004 Attachments.pdf	Supplementary Document	Uploaded 2008-02-06	Available
HINTS04 Question.pdf	Supplementary Document	Uploaded 2008-02-06	Available
HINTS 2004.pdf	Supplementary Document	Uploaded 2008-02-06	Available
Appendix N_mode effects.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix M_response rates.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix L_sample design.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix K_theoretic.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix J_rev extend instru.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix I_rev screen instru.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix H_IRB exempt.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix G_westat confid.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix F_letters mail.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix E_letters telephone.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix D_consultants.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix C_sources reviewed.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Appendix B_audience.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Explanation of Any Payment or Gift to Respondents revised.pdf	Supplementary Document	Uploaded 2008-02-06	Available
Appendix A_questions for field.pdf	Supplementary Document	Uploaded 2008-02-15	Available
Revised Estimate of Response Burden.pdf	Supplementary Document	Uploaded 2008-02-06	Available
HINTS Mail Quex 2007 SHORT Version _7-5_combined.pdf	Supplementary Document	Uploaded 2007-07-25	Available
HINTS Mail Quex 2007 LONG Version _7-5_combined.pdf	Supplementary Document	Uploaded 2007-07-25	Available
SSA revised 12-07.pdf	Supporting Statement A	Uploaded 2008-02-15	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	Modified
181323	Health Information National Trends Survey II (HINTS)	Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0538	ICR Reference No: 200802-0925-004
Status: Historical Active	Previous ICR Reference No: 200801-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Health Information National Trends Survey 2007
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 without change	Conclusion Date: 03/05/2008
	Date Received in OIRA: 02/20/2008
Terms of Clearance: Previous terms remain in effect. Specifically, NIH assess the response rates of Hispanic/Latino respondents and assess the costs and benefits of bilingual material for 2009 once both frames are combined.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2009	11/30/2008	03/31/2008
Responses	15,040	0	10,823
Time Burden (Hours)	3,565	0	2,510
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, 2	Survey ,   Survey
Health Information National Trends Survey II (HINTS)	1, 1	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	15,040	10,823	0	4,217	0	0
Annual Time Burden (Hours)	3,565	2,510	0	1,055	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: This study represents a new collection of information that will provide data for comparison with the previous HINTS 2003 and HINTS 2005.

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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: 02/20/2008

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