National Health Interview Survey 2007-2009

ICR 200808-0920-005

OMB: 0920-0214

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form
New
Form
New
Supplementary Document
2008-09-22
Supplementary Document
2008-09-22
Supplementary Document
2008-08-07
Supplementary Document
2008-09-22
Supplementary Document
2008-08-07
Supplementary Document
2008-09-22
Supplementary Document
2008-07-15
Justification for No Material/Nonsubstantive Change
2008-07-15
Supplementary Document
2008-08-07
Supplementary Document
2008-08-07
ICR Details
0920-0214 200808-0920-005
Historical Active 200711-0920-006
HHS/CDC
National Health Interview Survey 2007-2009
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/22/2008
Retrieve Notice of Action (NOA) 08/12/2008
Prior terms of clearance continue. We would be interested in seeing the results of the comparative analysis between the two vaccine study approaches when it is available.
  Inventory as of this Action Requested Previously Approved
12/31/2009 12/31/2009 12/31/2009
119,600 0 147,250
28,017 0 38,271
0 0 0

This is a request for changes to the 2008-2009 National Health Interview Survey (NHIS), beginning fourth quarter 2008. The annual National Health Interview Survey (NHIS) is a major source of general statistics on the health of the U.S. population and has been in the field every year since 1957. This household-based survey collects demographic and health-related information on a nationally representative sample of households throughout the country. Changes requested involve a topical module on immunizations and collection of information on disability and secondary conditions.

PL: Pub.L. 101 - 445 301 Name of Law: The National Nutrition Monitoring and Related Research Act of 1990
   PL: Pub.L. 104 - 170 136 Name of Law: The Food Quality Protection Act of 1996
  
None

Not associated with rulemaking

  71 FR 36096 06/23/2006
71 FR 55476 09/22/2006
No

9
IC Title Form No. Form Name
NHIS 2007 Reinterview Survey Not Assigned Reinterview Survey
NHIS 2007 Screener Questionnaire None Assigned, None Assigned Screener Questionnaire ,   Screener Survey
NHIS 2007 Family Core Questionnaire Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned Family Injury and Poisoning ,   Family Access to Health Care and Utilization ,   Family Health Insurance ,   Family Socio-Demographic ,   Family Income ,   Recontact ,   Family Identification ,   Family Health Status and Limitations
NHIS 2007 Adult Core Questionnaire Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned Adult Identification ,   Adult Health Behaviors ,   Adult Health Status and Limitations ,   Adult Socio-Demographic ,   Adult Conditions ,   Adult Access to Health Care and Utilization ,   Adult AIDS Knowledge and Attitudes
NHIS 2007 Adult Topical Module
NHIS 2007 Child Core Questionnaire Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not Assigned, Not assigned Child Health Status and Limitations ,   Child Access to Health Care and Utilization ,   Child Identification ,   Child Mental Health Brief Questionnaire ,   Child Mental Health Services ,   Child Influenza Immunization ,   NHIS 2007 Child Core Questionnaire
NHIS 2007 Child Topical Module Not Assigned Child Topical Module
NIS 2008 Child Immunization Questionnaire CDC 64.122 National Immunization Survey
NIS 2008 Teen Immunization Questionnaire CDC 64.122, Not assigned National Immunization Survey - Teen ,   NIS 2008 Teen Immunization Questionnaire

  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 119,600 147,250 0 -27,650 0 0
Annual Time Burden (Hours) 28,017 38,271 0 -10,254 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
This no-material/nonsubstantive change request will decrease the number of respondents due to budget cuts. Changes in the forms and fine tuning of the average burden response result in a decrease of burden hours.

$28,000,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Carol Walker 4046394773

  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.
08/12/2008


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