National Health Interview Survey

ICR 201407-0920-017

OMB: 0920-0214

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2014-07-29
Supporting Statement B
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supplementary Document
2013-12-19
Supporting Statement A
2013-12-19
ICR Details
0920-0214 201407-0920-017
Historical Active 201312-0920-006
HHS/CDC 21178
National Health Interview Survey
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/07/2014
Retrieve Notice of Action (NOA) 07/31/2014
CDC/NCHS may use the non-substantive change mechanism to modify existing questions, including those designed to add depth/additional detail and cycle in and out supplemental modules that have been used in the past years (with modest updates). A non-substantive change request is required before fielding the proposed incentive experiment. If new supplemental modules, new questionnaire instruments, or modifications to the sample are anticipated, a full revision of the ICR package must be submitted to OMB.
  Inventory as of this Action Requested Previously Approved
12/31/2016 12/31/2016 12/31/2016
179,000 0 179,000
45,500 0 45,500
0 0 0

The National Center for Health Statistics (NCHS), Division of Health Interview Statistics is conducting the National Health Interview Survey (OMB #0920-0214 exp. 12/31/16) on a sample of addresses from the 2012 American Community Survey (ACS) where a household member was identified as Native Hawaiian or Pacific Islander (NHPI) alone or in combination with one or more other races (the NHPI NHIS). This request is to increase the number of ACS addresses used in the NHPI NHIS sample.

US Code: 42 USC 242 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  78 FR 59036 09/25/2013
78 FR 75920 12/13/2013
Yes

  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 179,000 179,000 0 0 0 0
Annual Time Burden (Hours) 45,500 45,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This revision results in a burden decrease due to reduced screening efforts.

$42,000,000
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Catina Conner 4046394775

  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.
07/31/2014


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