GENERIC SUB-STUDY SUBMISSION – 0925-0589-09
DATE OF REQUEST: December 21, 2010
SUB AGENCY (I/C): NIH/NCI/DCCPS
TITLE OF SUB-STUDY: Health Information National Trends Survey 4 (HINTS 4) Cognitive
Testing of Cycle 1 Instrument
GENERIC CLEARANCE UNDER OMB #0925-0589-09 EXP. DATE: 05/31/2011
TOTAL BURDEN APPROVED: 1800 hours
BURDEN APPROVED TO DATE: 1456 hours
BURDEN THIS REQUEST: 83 hours
The National Cancer Institute’s Division of Cancer Control and Population Sciences, Behavioral Research Program is planning to conduct data collection for the Health Information National Trends Survey 4 (HINTS 4) over the course of three years starting in 2011 (OMB No. 0925-0538 is planned to be submitted in Summer, 2011). This submission is the second in a series of generic sub-studies designed to prepare HINTS 4 data collection materials.
NCI is proposing formative research to refine the data collection instrument to be used in the first cycle of HINTS 4 data collection. The objective of cognitive testing is to identify any potential sources of measurement error within the questionnaire and to gather adequate information to make informed modifications to the questionnaire to reduce the potential for response error.
The research will consist of conducting 50 cognitive interviews with people who meet the eligibility criteria for HINTS 4 (adult over 18 years of age and non-institutionalized resident of the United States). Thirty three of the interviews will be in English and 17 will be conducted in Spanish with Spanish-speaking participants and using a Spanish version of the questionnaire. Each interview will be about an hour and a half long and participants will each receive $50 as a thank you for their participation.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
___X___YES _____NO_______N/A
OBLIGATION TO RESPOND:
___X__ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
_____ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
__X___ IN PERSON INTERVIEW
_____ OTHER: _ _______________________
CONTACT INFORMATION:
NAME: Bradford Hesse
TELEPHONE NUMBER: 301-594-9904
EMAIL ADDRESS: [email protected]
| File Type | application/msword |
| File Title | SUBMISSION OF INFORMATION COLLECTION |
| Author | Nina Goodman, MHS |
| Last Modified By | Vivian Horovitch-Kelley |
| File Modified | 2010-12-28 |
| File Created | 2010-11-26 |