National Survey of Children's Health

Forms and Documents

Document Name	Status
Form NSCH-S1 & NSCH-T1 National Survey of Children's Health Form	Modified
2016-NSCH-Methodology-Report.pdf Supplementary Document	2019-05-14
2017-NSCH-Methodology-Report.pdf Supplementary Document	2019-05-06
Appendix F – 2019 NSCH Screener Card Test Letters_FINAL.pdf Supplementary Document	2019-04-24
Appendix E - 2019 NSCH Production Letters_FINAL.pdf Supplementary Document	2019-04-24
Appendix A - 2019 NSCH Questionnaire Content Revisions_FINAL.pdf Supplementary Document	2019-04-24
OMB Form 83-I (Dig Sig Ver2)_NSCH_FINAL.pdf Supplementary Document	2019-03-14
Appendix C - 2019 NSCH Table of State Sample Sizes.pdf Supplementary Document	2019-03-13
Appendix B - 2019 NSCH Sample Frame and Sampling Flags Creation.pdf Supplementary Document	2019-03-13
Part A - NSCH 2019 Production OMB_FINAL_v2_5.1.19.docx Supporting Statement A	2019-05-17
Part B - NSCH 2019 Production OMB_FINAL_v2_5.1.19.docx Supporting Statement B	2019-05-17

IC Document Collections

IC ID	Document Title	Status
220525	National Survey of Children's Health Form	Modified

ICR Details

OMB Control No: 0607-0990	ICR Reference No: 201903-0607-004
Status: Historical Active	Previous ICR Reference No: 201804-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: National Survey of Children's Health
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/17/2019
	Date Received in OIRA: 03/15/2019
Terms of Clearance: As it becomes available, the Census Bureau will upload the most recent year’s Methodology Report for the National Survey of Children’s Health to ROCIS through a non-substantive change request mechanism. Comment: The annual burden identified in the burden table for the previous ICR submission reflected the 3-year burden, not the annual burden, which inaccurately reflected a decrease of burden between submissions. The current annual burden entered accurately reflects the anticipated annual burden for the 2019 NSCH.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved	05/31/2019
Responses	96,549	0	266,906
Time Burden (Hours)	20,371	0	16,573
Cost Burden (Dollars)	0	0	0

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Abstract: This submission requests approval for a large-scale (N = 184,000 addresses) national Web and Paper-and-Pencil Interview (PAPI) survey. Incentives ($2 or $5) will be included in the initial invite letter for 90% of the sample, while the other 10% of the sample will not receive an incentive as a way to monitor incentive effectiveness. Initial paper topical mailings will also include a $5 incentive for 90% of the sample. The survey will consist of two experiments to evaluate opportunities to incorporate efficiencies in the data collection process including the use of a redesigned envelope that is eye catching and increases the likelihood of the package being opened and a screener card test to evaluate a streamlined process for households without children. The design & content of the 2019 NSCH survey is based on preliminary 2018 NSCH results.

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Authorizing Statute(s): US Code: 13 USC Section 8(b) Name of Law: null
   US Code: 42 USC Section 701(a)(2) Name of Law: null
  

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:
	83 FR 56287	11/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 8666	03/11/2019
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
National Survey of Children's Health	NSCH-S1 & NSCH-T1	2019 NSCH Questionnaire Content Revisions

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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	96,549	266,906	0	-170,357	0	0
Annual Time Burden (Hours)	20,371	16,573	0	3,798	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: The burden impact increased between the 2017 and 2019 survey cycles because of an increase in overall sample size.

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Annual Cost to Federal Government: $4,700,000

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.     Yes

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.     Yes

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: 03/15/2019

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