State and Local Area Integrated Telephone Survey (SLAITS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NSCH - telephone interview	Form	New	Available
Survey of Pathways to Diagnosis and Services mail questionnaire	Form	New	Available
Survey to Pathways to Diagnosis and Treatment telephone interview	Form	New	Available
NSCH - screener	Form	New	Available
NSCH - survey	Form	New	Available
SLAITS 2009 OMB_10_day letter sample design change CPO 07_12_10.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-07-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196089	Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form	New	NSCH - telephone interview
196089	Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form	New	Survey of Pathways to Diagnosis and Services mail questionnaire
196089	Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	Form	New	Survey to Pathways to Diagnosis and Treatment telephone interview
194339	National Survey of Children's Health	Form	New	NSCH - screener
194339	National Survey of Children's Health	Form	New	NSCH - survey

ICR Details

OMB Control No: 0920-0406	ICR Reference No: 201008-0920-001
Status: Historical Active	Previous ICR Reference No: 200711-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: State and Local Area Integrated Telephone Survey (SLAITS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/03/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	04/30/2011	04/30/2011
Responses	595,348	0	595,348
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.

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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

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
National Survey of Children's Health	none, none	NSCH - survey ,   NSCH - screener
Survey to Pathways to Diagnosis and Services and 2011 National Survey of Children's Health	none, none, none	Survey to Pathways to Diagnosis and Treatment telephone interview ,   Survey of Pathways to Diagnosis and Services mail questionnaire ,   NSCH - telephone interview

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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	595,348	595,348	0	0	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:

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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]? No

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)? No

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: 07/28/2010

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