Information Collection Request

Questionnaire Cognitive Interviewing and Pretesting (NCI)

ICR 201008-0925-003 · OMB 0925-0589 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 #10 Sub-study "Health Information National Trends Survey 4 (HINTS 4) Pilot Test " Form and Instruction New Repair queued
Form 1 #9 Health Information National Trends Survey 4 (HINTS 4) Cognitive Testing of Cycle 1 Instrument Form and Instruction New Repair queued
Form 3 #6, #7, and #8 Bundled Sub-studies for HINTS, MDC and NExT Form and Instruction New Repair queued
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 Unchanged Repair queued
Form 1 Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2) Form Unchanged Repair queued
Form 1 Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1 Form Unchanged Repair queued
Change Request to burden.doc Justification for No Material/Nonsubstantive Change Uploaded 2010-08-23 Available
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 Available
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 Repair queued
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 Repair queued
ATTACHMENT D Letter from Privacy Act Officer.pdf Supplementary Document Uploaded 2007-12-07 Available
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 Available
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 Repair queued
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 201008-0925-003
Historical Active 200802-0925-005
HHS/NIH
Questionnaire Cognitive Interviewing and Pretesting (NCI)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 09/22/2010
Retrieve Notice of Action (NOA) 08/23/2010
The total burden has been increased to 1200 hours because there is less than a year left on the approval. If the generic is renewed, the total burden, rather than just the annual burden, should be requested (for this collection, 600 hours x 3 years = 1800 hours) in order to avoid running out of hours before the end of the approval cycle.
  Inventory as of this Action Requested Previously Approved
05/31/2011 05/31/2011 05/31/2011
1,200 0 600
1,200 0 600
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 1,200 600 0 600 0 0
Annual Time Burden (Hours) 1,200 600 0 600 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
NIH is requesting a non-substantive, non-material change to the total burden that is reported in ICRAS/ROCIS for this generic information collection. This would be to correct an administrative error that has occurred; it is not a request to increase or decrease the burden hours or respondents. The original burden, based on the 2008 OMB-approved Supporting Statement A, p. 32 requested an annual participant burden of 600 hours with 600 respondents. The burden reported in the ICRAS/ROCIS is a total of 600 hours and respondents. This number should actually be 1800 hours and respondents, since this information collection was approved for three years.

$264,000
Yes Part B of Supporting Statement
No
No
Uncollected
No
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.
08/23/2010