Youth Outreach Generic Clearance for the National Center for Health Statistics (NCHS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Student Evaluation	Form	New	Available
Parent Evaluation	Form	New	Available
Registration	Form	New	Available
Teacher Recommendation	Form	New	Available
Student Application	Form	New	Available
Parent Application	Form	New	Repair queued
SSA Youth Outreach 032417.docx	Supporting Statement A	Uploaded 2017-04-04	Available
Privacy Act App Review.docx	Supplementary Document	Uploaded 2017-04-04	Available
Att_B published 60 Day FRN.pdf	Supplementary Document	Uploaded 2017-04-04	Available
Att_A Leg NCHS 2014-2016.docx	Supplementary Document	Uploaded 2017-04-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
230259	NCHS Data Detective Camp	Form	New	Student Evaluation
230259	NCHS Data Detective Camp	Form	New	Parent Evaluation
230259	NCHS Data Detective Camp	Form	New	Registration
230259	NCHS Data Detective Camp	Form	New	Teacher Recommendation
230259	NCHS Data Detective Camp	Form	New	Student Application
230259	NCHS Data Detective Camp	Form	New	Parent Application
227060	National Center for Health Statistics (NCHS) Data Detectives Camp	Other-Web-based	New

ICR Details

OMB Control No: 0920-1185	ICR Reference No: 201704-0920-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17IZ
Title: Youth Outreach Generic Clearance for the National Center for Health Statistics (NCHS)
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: 05/22/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/21/2017
Terms of Clearance: approved consistent with the understanding that NCHS will provide a mini-supporting statement for each genIC submitted via ROCIS.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	10,350	0	0
Time Burden (Hours)	5,250	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for Health Statistics (NCHS) places a high priority on providing outreach and quality products and services to the public. In anticipation of increased involvement with the community and a desire to expand on activities that help young people gain more exposure to math and science fields, the NCHS is requesting a Generic Clearance. This Generic Clearance would be for outreach to young people (K through college) and those who support them, such as parents, teachers, and counselors.

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Authorizing Statute(s): US Code: 42 USC 242 Name of Law: U.S. PHSA
  

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:
	82 FR 1744	01/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18646	04/20/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
NCHS Data Detective Camp	none, none, none, none, none, none	Parent Application ,   Student Application ,   Teacher Recommendation ,   Registration ,   Parent Evaluation ,   Student Evaluation
National Center for Health Statistics (NCHS) Data Detectives Camp

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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	10,350	0	0	10,350	0	0
Annual Time Burden (Hours)	5,250	0	0	5,250	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: Submission of 0920-17IZ is a request for a New (Generic) ICR. Burden Hours have been adjusted for three year approval.

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Annual Cost to Federal Government: $85,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 04/21/2017

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