Assessing the Effectiveness of eLearning to Improve Birth Data Quality for NCHS

Customer Surveys Generic Clearance for the National Center for Health Statistics

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0729 can be found here:

Documents and Forms

Document Name Document Type
Assessing the Effectiveness of eLearning to Improve Birth Data Quality for NCHS Form
Hospital Staff List Att A1b. Hosp Staff List 111818.docx Form
Baseline Survey Att B2. Online Baseline Survey 110818.docx Form
Follow-up Survey Att D2. Online Follow-up Survey 110818.docx Form
Part A OMB 120718.docx Supporting Statement A IC Document
Part B OMB 110818.docx Supporting Statement B IC Document
Att A1a. Hosp Intro Invit 110818.docx Hospital Invitation IC Document
Att A2. Confidentiality FAQ 111818.docx Confidentiality FAQ IC Document
Att A3. Data Collector Confi Agree 111518.docx Data Collector Confidentiality Agreement IC Document
Att B1a. Baseline Survey Invit 110818.docx Baseline Survey Invitation IC Document
Att B1b. Baseline Survey Password 110818.docx Baseline Survey Password Email IC Document
Att B1c. Baseline Survey Reminder 110818.docx Baseline Survey Reminder IC Document
Att C1a. eLearning Course Invit 110818.docx eLearning Course Invitation IC Document
Att C1b. eLearning Course Reminder 110818.docx eLearning Course Reminder IC Document
Att D1a. Follow-Up Survey Invit 110818.docx Follow-up Survey Invitation IC Document
Att D1b. Follow-Up Survey Password 110818.docx Follow-up Survey Password Email IC Document
Att D1c. Follow-Up Survey Reminder 110818.docx Follow-up Survey Reminder IC Document
Att E Types of Outcomes 110818.docx Types of Outcomes IC Document
Att F. Thank You 110818.docx Thank you Email IC Document

Information Collection (IC) Details

IC Title:	Assessing the Effectiveness of eLearning to Improve Birth Data Quality for NCHS	Agency IC Tracking Number:	0920-0729-19HC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Hospital Staff List	Att A1b. Hosp Staff List 111818.docx	No		Paper Only
Form	none	Baseline Survey	Att B2. Online Baseline Survey 110818.docx	Yes	Yes	Fillable Fileable
Form	none	Follow-up Survey	Att D2. Online Follow-up Survey 110818.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Users of Health Statistics	FR Citation: 51 FR 42371

Number of Respondents: 727	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	727	727
Annual IC Time Burden (Hours)	364	364
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	Part A OMB 120718.docx	12/10/2018
Supporting Statement B	Part B OMB 110818.docx	12/10/2018
Hospital Invitation	Att A1a. Hosp Intro Invit 110818.docx	12/10/2018
Confidentiality FAQ	Att A2. Confidentiality FAQ 111818.docx	12/10/2018
Data Collector Confidentiality Agreement	Att A3. Data Collector Confi Agree 111518.docx	12/10/2018
Baseline Survey Invitation	Att B1a. Baseline Survey Invit 110818.docx	12/10/2018
Baseline Survey Password Email	Att B1b. Baseline Survey Password 110818.docx	12/10/2018
Baseline Survey Reminder	Att B1c. Baseline Survey Reminder 110818.docx	12/10/2018
eLearning Course Invitation	Att C1a. eLearning Course Invit 110818.docx	12/10/2018
eLearning Course Reminder	Att C1b. eLearning Course Reminder 110818.docx	12/10/2018
Follow-up Survey Invitation	Att D1a. Follow-Up Survey Invit 110818.docx	12/10/2018
Follow-up Survey Password Email	Att D1b. Follow-Up Survey Password 110818.docx	12/10/2018
Follow-up Survey Reminder	Att D1c. Follow-Up Survey Reminder 110818.docx	12/10/2018
Types of Outcomes	Att E Types of Outcomes 110818.docx	12/10/2018
Thank you Email	Att F. Thank You 110818.docx	12/10/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.