Customer Surveys Generic Clearance for the National Center for Health Statistics

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Feedback Survey of Persons registered for the NCHS 2010 National Conference	Form	New	Available
NCHS 2011-2013 customer survey Sup State B 041311.docx	Supporting Statement B	Uploaded 2011-04-15	Available
Attachment C 0920-0729 IRB memo.pdf	Supplementary Document	Uploaded 2011-01-31	Available
Attachment A Leg NCHS 2011-2013 .docx	Supplementary Document	Uploaded 2011-01-31	Available
Sup State A NCHS 2011-2013 customer survey.docx	Supporting Statement A	Uploaded 2011-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203875	Customer Satisfaction Survey for the Research Data Center	Other-WORD	New
198394	Feedback Survey of Persons registered for the NCHS 2010 National Conference	Form	New

ICR Details

OMB Control No: 0920-0729	ICR Reference No: 201102-0920-014
Status: Historical Active	Previous ICR Reference No: 200605-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Customer Surveys Generic Clearance for the National Center for Health Statistics
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance: Each Gen IC must be accompanied by a statement of the goal of the project and a description of the data collection approach, the population, the sampling method, and any incentives offered.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved
Responses	8,040	0	0
Time Burden (Hours)	1,640	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a reinstatement request for a generic clearance to conduct customer surveys over the next 3 years. NCHS plans to continue to assess its cusotmers' satisfaction witht he content, quality, and relevance of the information it produces.

---

Authorizing Statute(s): US Code: 42 USC 242 Name of Law: National Center for Health Statistics
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 62838	10/13/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6138	02/03/2011
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Customer Satisfaction Survey for the Research Data Center
Feedback Survey of Persons registered for the NCHS 2010 National Conference	none, none	NCHS Feedback Survey ,   Customer Satisfaction Website Survey

---

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	8,040	0	0	8,040	0	0
Annual Time Burden (Hours)	1,640	0	0	1,640	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: The burden changes are based on an estimate of previous data collections cleared under this OMB control number, based on a 3 year clearance period. Specific information will be provided with each project submission.

---

Annual Cost to Federal Government: $100,000

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? Yes

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

---

Common Form ICR:  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:

(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: 02/24/2011

---