National Survey of Children's Health

ICR 201611-0607-002

OMB: 0607-0990

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2016-12-08
Justification for No Material/Nonsubstantive Change
2016-12-07
Supporting Statement A
2016-04-27
Supplementary Document
2016-04-21
Supplementary Document
2016-04-21
Supplementary Document
2016-04-21
Supplementary Document
2016-03-08
Supplementary Document
2016-03-08
Supplementary Document
2016-03-08
Supplementary Document
2016-03-08
Supplementary Document
2016-04-21
Supplementary Document
2016-03-08
Supplementary Document
2016-04-21
Supplementary Document
2016-03-08
Supplementary Document
2016-03-08
Supporting Statement B
2016-04-27
IC Document Collections
IC ID
Document
Title
Status
220525 Unchanged
ICR Details
0607-0990 201611-0607-002
Historical Active 201603-0607-002
DOC/CENSUS
National Survey of Children's Health
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/08/2016
Retrieve Notice of Action (NOA) 12/02/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 04/30/2019 04/30/2019
266,906 0 266,906
54,117 0 54,117
0 0 0

The National Survey of Children’s Health (NSCH) enables the Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) to produce national and state-based estimates on the health and well-being of children, their families, and their communities as well as estimates of the prevalence and impact of children with special health care needs. Data will be collected using two modes. The first mode is an Internet survey that contains the screener and topical instruments. The Internet instrument first will take the respondent through the screener questions. If the household screens into the study, the respondent will be taken directly into one of the three age-based topical sets of questions. The second mode that is a mailout/mailback of a self-administered paper-and-pencil interviewing (PAPI) screener instrument followed by a separate mailout/mailback of a PAPI age-based topical instrument. The National Survey of Children’s Health (NSCH) is a large-scale (sample size is 364,153 addresses) national survey. The survey will consist of several experiments: (i) to assess amount of respondent cash incentives ($0, $2, or $5) needed to gain cooperation and participation in the survey, (ii) to test whether an alternative Maternal and Child Health Bureau branding improves response for the NSCH over the Census Bureau’s standard branding and (iii) modification to data collection procedures based on the tract level Internet response likelihood.

US Code: 13 USC Section 8(b) Name of Law: null
   US Code: 42 USC Section 701(a)(2) Name of Law: null
  
None

Not associated with rulemaking

  80 FR 229 11/30/2015
81 FR 17139 03/28/2016
No

1
IC Title Form No. Form Name
National Survey of Children's Health NSCH-S1, NSCH-PS-S1, NSCH-T1, NSCH-PS-T3, NSCH-T2, NSCH-T3, NSCH-PS-T1, NSCH-PS-T2 NSCH Screener - English ,   NSCH Screener - Spanish ,   NSCH Topical 1 (0-5) - Spanish ,   NSCH Topical 2 (6-11) - Spanish ,   NSCH Topical 3 (12-17) - Spanish ,   NSCH Topical 1 (0-5) - English ,   NSCH Topical 2 (6-11) - English ,   NSCH Topical 3 (12-17) - English

  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 266,906 266,906 0 0 0 0
Annual Time Burden (Hours) 54,117 54,117 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden is increasing as this is a new collection.

$7,000,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jason Fields 301 763-2465

  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.
12/02/2016


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