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
Appendix D_2020 NSCH Screener and Topical Questionnaires_FINAL.pdf Supplementary Document	2020-05-14
Appendix F_2020 NSCH Redesigned Production Letters.pdf Supplementary Document	2020-05-20
Appendix E_2020 NSCH Traditional Production Letters.pdf Supplementary Document	2020-05-20
Appendix D_2020 NSCH Screener and Topical Questionnaires_FINAL.pdf Supplementary Document	2020-05-14
Appendix C_2020 NSCH Table of State Sample Sizes.pdf Supplementary Document	2020-03-02
Appendix B_2020 NSCH Sample Frame and Sampling Flags Creation.pdf Supplementary Document	2020-03-02
Appendix A_2020 NSCH Questionnaire Content Revisions.pdf Supplementary Document	2020-03-02
Part A_NSCH 2020 Production OMB_FINAL.docx Supporting Statement A	2020-03-03
Part B_NSCH 2020 Production OMB_FINAL.docx Supporting Statement B	2020-03-03

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: 202003-0607-001
Status: Active	Previous ICR Reference No: 201903-0607-004
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: 05/29/2020
	Date Received in OIRA: 03/06/2020
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.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2023	36 Months From Approved	05/31/2022
Responses	94,370	0	96,549
Time Burden (Hours)	29,642	0	20,371
Cost Burden (Dollars)	0	0	0

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Abstract: Sponsored by the U.S. Department of Health and Human Services’ (HHS’) Health Resources Services Administration’s Maternal and Child Health Bureau (HRSA MCHB), the National Survey of Children’s Health (NSCH) is designed to produce data on the physical and emotional health of American children under 18 years of age. The NSCH collects information on factors related to the well-being of children, including access to health care, in-home medical care, family interactions, parental health, school and after-school experiences, and neighborhood characteristics. For the 2019 NSCH, a sample frame of up to 240,000 household addresses will be used. Approximately 210,000 addresses will be included in the production survey, while approximately 25,000 addresses will be a part of the state oversample (selected from the following four states: Colorado, Nebraska, Oregon, and Wisconsin), which is new for 2020. The sample file is selected from the Census Master Address File (MAF) and supplemented with an administrative records-based flag identifying households with children. The target population consists of children under 18 years of age living in mailable residential housing units in the United States.

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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
   US Code: 42 USC Section 241 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:
	84 FR 63839	11/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 11333	02/27/2020
Did the Agency receive public comments on this ICR? No

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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	2020 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	94,370	96,549	0	-2,179	0	0
Annual Time Burden (Hours)	29,642	20,371	0	9,271	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 in the overall sample size, from 184,000 to 240,000.

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Annual Cost to Federal Government: $5,645,000

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? No

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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: 03/06/2020

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