Information Collection Request

Questionnaire Cognitive Interviewing and Pretesting (NCI)

ICR 200802-0925-005 · OMB 0925-0589 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 #3, #4, and #5 Bundled Sub-studies for Website Evaluations - Science of Team Science, SEER and Epi Genetics Research Programs Form and Instruction New Available
Form 1 Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2) Form New Available
Form 1 Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1 Form New Repair queued
SSB_10-31-07.doc Supporting Statement B Uploaded 2007-12-07 Repair queued
ATTACHMENT L Detailed explanation to participants.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT K Participant data sheet.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT J Sample script for answering machine.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT I Sample Screening script.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT H Newspaper script.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT G OHSR Exemption approval.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT F Consent to show recording.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT E-2 Consent Groups.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT E-1 Consent Interview.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT D Letter from Privacy Act Officer.pdf Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT C HINTS 2005 Advance-letter.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT B-2 Sample Qx Cancer Quality of Life.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT B-1 Sample Qx TUS Population Survey.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT A Cognitive Interviewing.doc Supplementary Document Uploaded 2007-12-07 Available
Cover Letter.doc Supplementary Document Uploaded 2007-12-07 Repair queued
SSA_11-27-07.doc Supporting Statement A Uploaded 2007-12-07 Available
ICR Details
0925-0589 200802-0925-005
Historical Active
HHS/NIH
Questionnaire Cognitive Interviewing and Pretesting (NCI)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/21/2008
Retrieve Notice of Action (NOA) 02/25/2008
The project director for the NIH Cognitive Testing Laboratory will closely coordinate with the directors of the other cognitive labs across the federal government (including BLS, NCHS, and Census)to ensure consistency in methods, recruitment approaches, and compensation. If the OIRA desk officer is given a 'heads up' regarding the content and timing of a submittal for a generic IC, she/he will try to approve each request in less than 21 calendar days.
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved
600 0 0
600 0 0
0 0 0

A generic clearance is requested from OMB for general questionnaire development and pretesting activities to be carried out in 2008-2010 by the staff of the Applied Research Program, in the Division of Cancer Control and Population Sciences. Four types of activities will be carried out: survey questionnaire development and pretesting based on cognitive interviewing methodology, research on the cognitive aspects of survey methodology, research on computer-user interface design for computer-assisted instruments (including Web-based surveys), also known as Usability Testing, and Pilot Household interviews.

US Code: 42 USC 412 Name of Law: Public Health Service Act
   US Code: 42 USC 410 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  72 FR 65969 11/26/2007
73 FR 6732 02/05/2008
No

  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 600 0 0 600 0 0
Annual Time Burden (Hours) 600 0 0 600 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.

$264,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Mikia Currie 3014350941

  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.
02/25/2008