RANDS during COVID19

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Respondent Data Collection Sheet	Form	New	Available
Telephone screener and script	Form and Instruction	New	Available
Screener and questionnaire - round 2	Form	New	Available
Screener and questionnaire - round 1	Form	New	Available
Att N - Health and Health Care Access Questions Across Federal Surveys During COVID-19.docx	Supplementary Document	Uploaded 2020-05-14	Available
Att J - Sample script of CCQDER voice mail_UPDATED 05 14 2020.docx	Supplementary Document	Uploaded 2020-05-15	Available
RANDS-COVID-19 Emergency Review Letter_ JM Signature.pdf	Supplementary Document	Uploaded 2020-05-14	Available
Att M - RANDS during COVID-19 Variable Crosswalk, Uses, and Power Calculation_UPDATED 05 08 2020.xlsx	Supplementary Document	Uploaded 2020-05-14	Available
Supp Statement B_RANDS COVID19_UPDATED 05 08 2020.docx	Supporting Statement B	Uploaded 2020-05-14	Available
Supp Statement A_RANDS COVID19_UPDATED 05 08 2020.docx	Supporting Statement A	Uploaded 2020-05-14	Available
Att L - Abstracts of Previous RANDS Research on Estimation and Calibration.docx	Supplementary Document	Uploaded 2020-04-29	Available
Att I - Recruitment Advertisement_UPDATED 05 14 2020.docx	Supplementary Document	Uploaded 2020-05-15	Available
Att G - CCQDER Data Storage and Access Policy_clean.docx	Supplementary Document	Uploaded 2020-04-28	Available
Att H - NCHS ERB Approval Notice.pdf	Supplementary Document	Uploaded 2020-04-28	Available
Att F - NCHS Non-Disclosure Affidavit for NORC Organization Staff working on RANDS_DMM_clean.docx	Supplementary Document	Uploaded 2020-04-28	Available
Att E - NORC CIPESA Protection Plan.docx	Supplementary Document	Uploaded 2020-04-28	Available
Att A - Pub Health Serv Act.docx	Supplementary Document	Uploaded 2020-04-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241597	Respondent Data Collection Sheet	Form	New
241596	Cognitive interview	Instruction	New
241595	Telephone screener and script	Form and Instruction	New
241594	Screener and questionnaire - round 2	Form	New
241593	Screener and questionnaire - round 1	Form	New

ICR Details

OMB Control No: 0920-1298	ICR Reference No: 202004-0920-022
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20NK
Title: RANDS during COVID19
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/15/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/15/2020
	Date Received in OIRA: 05/14/2020
Terms of Clearance: Approved consistent with the understanding that estimates will only be developed for non-COVID health access. All other data are being collected only for calibration and/or measurement research, and as such will not be publicly disseminated (either as estimates or raw data).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	6 Months From Approved
Responses	22,350	0	0
Time Burden (Hours)	7,446	0	0
Cost Burden (Dollars)	177,585	0	0

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Abstract: RANDS during COVID-19 will allow NCHS to quickly obtain and disseminate information about the access to health care during the coronavirus pandemic. In addition, data will be collected that allows understanding the quality of other pandemic-related surveys. This work includes a component of already planned research regarding the ways NCHS might leverage commercially-created and maintained survey panels to supplement and expand NCHS' methodological research.

Emergency Justfication: The quickly evolving situation surrounding the outbreak, and the fact that CDC requires timely surveillance information for policy and communication decisions, requires emergency review and clearance to allow for immediate information collection. CDC cannot reasonably comply with the normal clearance given the urgent necessity to protect the American public from the continued spread of this health threat. Therefore, CDC requests a 180-day emergency clearance to launch this pair of general population surveys to obtain data about the outbreak and the public’s response to it.

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Authorizing Statute(s): US Code: 42 USC 242 Name of Law: 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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Screener and questionnaire - round 1	none	Intro screener and questionnaire
Screener and questionnaire - round 2	none	Screener and questionnaire
Telephone screener and script	none	Telephone screener and script
Cognitive interview
Respondent Data Collection Sheet	none	Respondent data collection sheet

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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	22,350	0	0	22,350	0	0
Annual Time Burden (Hours)	7,446	0	0	7,446	0	0
Annual Cost Burden (Dollars)	177,585	0	0	177,585	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: This is a new emergency information collection.

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Annual Cost to Federal Government: $1,290,859

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? Yes

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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: 05/14/2020

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