National Survey of Children's Health Pretest

ICR 201504-0607-011

OMB: 0607-0984

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2015-05-20
Supporting Statement A
2015-04-29
IC Document Collections
ICR Details
0607-0984 201504-0607-011
Historical Active
DOC/CENSUS
National Survey of Children's Health Pretest
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/31/2015
Retrieve Notice of Action (NOA) 04/30/2015
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved
16,000 0 0
2,262 0 0
0 0 0

This submission requests approval for a small-scale (N=16,000 addresses) national pretest prior to fielding the first year production NSCH. This pretest will be planned and conducted to assess survey methodology, evaluate the survey instrument, and test operational procedures and processes. The pretest sample will consist of several panels to assess data collection mode preferences (Mail or Web) of respondents and amount of respondent incentives needed to gain participation in the study.

None
None

Not associated with rulemaking

  80 FR 3215 01/22/2015
80 FR 23769 04/29/2015
No

1
IC Title Form No. Form Name
National Survey of Children's Health Pretest

  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 16,000 0 0 16,000 0 0
Annual Time Burden (Hours) 2,262 0 0 2,262 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$2,776,000
No
No
No
No
No
Uncollected
Scott Boggess 301 763-6167

  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.
04/30/2015


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