GENERIC SUB-STUDY SUBMISSION – 0925-0589-10
DATE OF REQUEST: February 2, 2011
SUB AGENCY (I/C): NIH/NCI/DCCPS
TITLE OF SUB-STUDY: Health Information National Trends Survey 4 (HINTS 4) Pilot Test
GENERIC CLEARANCE UNDER OMB #0925-0589-10 EXP. DATE: 05/31/2011
TOTAL BURDEN APPROVED: 1800 hours
BURDEN APPROVED TO DATE: 1539 hours
BURDEN THIS REQUEST: 153 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.
The goals of the pilot test are to: 1) conduct a methodological experiment comparing respondent selection options; 2) conduct a test of questionnaire variations; and 3) test the operational procedures that will be used on HINTS. The research will consist of conducting the mail survey with a sample of 300 respondents. Respondents will be assigned to one of three conditions for respondent selection procedures in order to try to identify the best way to select a household respondent to complete the instrument. Respondents will also be assigned to one of two questionnaire versions. The 2 versions vary on some questions in an effort to determine the best way to ask those particular questions. HINTS 4 is also targeting Spanish-speaking respondents for the first time and the pilot will allow us to test the Spanish contact methods and materials. Finally, a subsample of 20 respondents will be contacted by telephone to assess how the contact materials and respondent selection methods worked.
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
__X___ TELEPHONE INTERVIEW
__X___ MAIL RESPONSE
_____ 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 | 2011-02-02 |
| File Created | 2010-11-26 |