National Epidemiologic Survey on Alcohol and Related Conditions-III (NIAAA)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
attach8.doc	Supplementary Document	Uploaded 2011-02-09	Available
supporting statement B NIAAA (3).doc	Supporting Statement B	Uploaded 2010-12-20	Available
attach23.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach22.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach21.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach20.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach19.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach18.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach17.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach16.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach15.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach14.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach13.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach12.pdf	Supplementary Document	Uploaded 2010-12-20	Available
attach11.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach10.pdf	Supplementary Document	Uploaded 2010-12-20	Available
attach9.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach7.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach6.pdf	Supplementary Document	Uploaded 2010-12-20	Available
attach5.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach4.doc	Supplementary Document	Uploaded 2010-12-20	Available
attach3.pdf	Supplementary Document	Uploaded 2010-12-20	Available
attach2.docx	Supplementary Document	Uploaded 2010-12-20	Available
attach1.doc	Supplementary Document	Uploaded 2010-12-20	Available
Supporting Statement A revised 2_9_10.doc	Supporting Statement A	Uploaded 2011-02-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196162	Adults-Reinterview, Validity Study	Other-Supplementary	New
196154	Adults-including respondents participating in re-interview with AUDADIS-V or PRISM	Other-Supplementary	New
195864	Adults-NESARC-III	Other-Supplementary	New

ICR Details

OMB Control No: 0925-0628	ICR Reference No: 201101-0925-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Epidemiologic Survey on Alcohol and Related Conditions-III (NIAAA)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2011
	Date Received in OIRA: 01/03/2011
Terms of Clearance: Approval is granted for this study as described in the Supporting Statement with one exception. Per discussion between OMB and NIH on 04-08-2011, the NIH will not use any incentive in conjunction with administering the screener.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved
Responses	48,300	0	0
Time Burden (Hours)	47,800	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Epidemiologic Survey on Alcohol and Related Conditions - III (NESARC-III) is a nationally representative survey of 46,500 adult Americans that will collect data on alcohol use disorders and their associated disabilities in addition to collecting saliva samples for the purpose of understanding the prevalence, risk factors, health disparities, economic costs and gene-environment interactions related to alcohol use disorders and their associated disabilities. There is a small reliability (n=1,000) and a small validity (n=700) methodological component (interviewing NESARC-III survey proper respondents twice) and a proposed pilot study (n=100).

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Authorizing Statute(s): US Code: 42 USC 285n Name of Law: NIAAA
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 63490	10/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 79385	12/20/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Adults-including respondents participating in re-interview with AUDADIS-V or PRISM
Adults-NESARC-III
Adults-Reinterview, Validity Study

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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	48,300	0	0	48,300	0	0
Annual Time Burden (Hours)	47,800	0	0	47,800	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $18,810,372

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]? No

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: 01/03/2011

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