NCHS Questionnaire Design Research Laboratory

ICR 201002-0920-006

OMB: 0920-0222

Federal Form Document

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Supporting Statement B
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supplementary Document
2010-01-22
Supporting Statement A
2010-02-17
ICR Details
0920-0222 201002-0920-006
Historical Active 200902-0920-005
HHS/CDC
NCHS Questionnaire Design Research Laboratory
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2010
Retrieve Notice of Action (NOA) 02/17/2010
CDC will continue to submit individual collections under this generic clearance to OMB. OMB will provide feedback on the individual collections within ten working days, whenever possible, as is currently the case. Standard remuneration of respondents is $40.00. Higher remunerations may be requested with justification for difficult recruitments, focus groups, etc.
  Inventory as of this Action Requested Previously Approved
03/31/2013 36 Months From Approved 02/28/2010
850 0 850
1,800 0 600
0 0 0

This submission describes proposed research activities of the National Center for Health Statistics (NCHS) Questionnaire Design Research Laboratory. Survey specific research activities include questionnaire testing and development for NCHS, CDC, other federal agencies, or other academic or professional institutions. The purpose and use of collecting this information fall into five categories: 1) Development and testing of specific survey questionnaires; 2) Research on the cognitive and interpretive aspects of survey methodology; 3) Research on human-computer interfaces/usability; 4) Pilot household interviewing; and 5) Studies of the optimal design and presentation of statistical graphical and textual material. Methods for data collection include interviewer administered, self-administered, telephone, Computer Assisted Personal Interviewing (CAPI) and Computer Assisted Self-Interviewing (CASI), and web-based questionnaires including: cognitive interviewing, focus groups, usability testing, and pilot household interviews.

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

Not associated with rulemaking

  74 FR 48077 09/21/2009
75 FR 3737 01/22/2010
No

18
IC Title Form No. Form Name
QDRL - NCHS Website Usability Testing
Conducting Testing on NHIS and NHANES Questions No number Testing NHIS and NHANES Questions
QDRL - ACASI testing for sexual identity question on NHIS none Att 2 - Cognitive testing interview guide
ACASI field interviews for NHIS none ACASI field interviews
QDRL - 2013 NHIS none NHIS 2013 questions
NAMCS and NHAMCS Patient Record Evaluation none Patient Record Evaluation
QDRL - SLAITS National Survey of Children's Health none National Survey of Children's Health
Measuring Trust in Official Statistics and Complementary and Alternative Medicine for NHIS none, none Measuring Trust - questions ,   CAM - interview guide
QDRL testing on NAMCS physician follow-up, NHIS Complementary and Alternative Medicine, and Spanish version of HIV behavioral surveillance none, none, none, none, none NHBS - Spanish version for MSM ,   NHBS - Spanish screener ,   Physican Workflow EHR no Adoption Survey ,   Physican Workflow EHR some Adoption Survey ,   Child Component of CAMS
QDRL - Spanish version of ACASI testing for sexual identity questions none Spanish version - ACASI testing of sexual identity questions
Questionnaire Design Research Laboratory - Disability Study none QDRL - Disability Study
NHIS 575 ACASI Field Interviews none 575 ACASI Field Test
Evaluation of the Internet Version of the Respiratory Health of Healthcare Workers Questionnaire Attachment 1 Respiratory Health Internet Version
Testing Long Term Care Questions
Asthma Management Supplement none 2012 Asthma Supplement
NHIS Voice, Swallowing, Speech, Language and NHANES Creatine and Lifestyle Questions none NHIS Voice, Swallowing, Speech and Language
Respiratory Health of Healthcare Workers and Blood Donor History Questionnaires none, none Survey on Respiratory Health ,   Blood Donor History Questionnaire
QDRL - questions for National HIV Behavioral Surveillance system and on gender none, none NHBS questions for cognitive testing ,   NHBS screeners

  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) 1,800 600 0 0 1,200 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
No
Uncollected
Thelma Sims 4046394771

  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.
02/17/2010


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