National Survey of Organ Donation Attitudes and Practices (NSODAP)

Forms and Documents

Document Name	Status
Form 1a National Survey of Organ Donation Attitudes and Practices Form and Instruction	Modified
20180501 National Survey Supporting Statement B - CLEAN.doc Supporting Statement B	2018-07-06
20180501 National Survey Supporting Statement A - CLEAN.docx Supporting Statement A	2018-07-06

IC Document Collections

IC ID	Document Title	Status
6543	National Survey of Organ Donation Attitudes and Practices Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0290	ICR Reference No: 201807-0915-001
Status: Active	Previous ICR Reference No: 201112-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: National Survey of Organ Donation Attitudes and Practices (NSODAP)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2018
	Date Received in OIRA: 07/09/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved
Responses	10,000	0	0
Time Burden (Hours)	2,900	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The National Survey of Organ Donation Attitudes and Practices serves a critical role in providing HRSA and the donation community with data on why Americans choose to donate organs, barriers to donation, and new approaches to increasing donations. Survey data and derived analytic insights inform HRSA’s public outreach and educational initiatives. Respondents are adults of all ages and education levels including populations of interest such as ethnic minorities.

---

Authorizing Statute(s): PL: Pub.L. 42 - 274 375 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 5793	02/09/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 29798	06/26/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Survey of Organ Donation Attitudes and Practices	2b, 1B, 1a, 2a	NSODAP CATI PHONE SCRIPT ENGLISH REV 6_28.pdf ,   NSODAP CATI PHONE SCRIPT SPANISH REV 6_28.pdf ,   NSODAP ONLINE SCREENSHOTS ENGLISH REV 6_29.pdf ,   NSODAP ONLINE SCREENSHOTS SPANISH REV 6_28.pdf

---

ICR Summary 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	10,000	0	0	10,000	0	0
Annual Time Burden (Hours)	2,900	0	0	2,900	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: There is an increase of respondents to the surveys, thus and increase in burden.

---

Annual Cost to Federal Government: $18,090

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  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:

(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: 07/09/2018

---