Customer Surveys Generic Clearance for the National Center for Health Statistics

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Aging Forum Data User Survey	Form and Instruction	New	Repair queued
Children's Forum Data User Survey	Form and Instruction	New	Repair queued
NCHS Website User Customer Satisfaction Survey	Form and Instruction	New	Available
Attachment C 0920-0729 Human Subjects Memo.pdf	Supplementary Document	Uploaded 2020-06-03	Available
Attachment B Published 60Day FRN.pdf	Supplementary Document	Uploaded 2020-06-03	Available
Attachment A Leg NCHS.docx	Supplementary Document	Uploaded 2020-06-03	Available
NCHS survey SS-B 08102020.docx	Supporting Statement B	Uploaded 2020-08-13	Available
NCHS survey SS-A 08102020.docx	Supporting Statement A	Uploaded 2020-08-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251945	[2022] Children's Forum Data User Survey and Aging Forum Data User Survey	Form and Instruction	New	Aging Forum Data User Survey
251945	[2022] Children's Forum Data User Survey and Aging Forum Data User Survey	Form and Instruction	New	Children's Forum Data User Survey
243179	NCHS Website Users Customer Satisfaction Survey 2020-2022	Form and Instruction	New	NCHS Website User Customer Satisfaction Survey

ICR Details

OMB Control No: 0920-0729	ICR Reference No: 202006-0920-002
Status: Historical Active	Previous ICR Reference No: 201707-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 17AJ
Title: Customer Surveys Generic Clearance for the National Center for Health Statistics
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	36 Months From Approved	09/30/2020
Responses	7,500	0	14,500
Time Burden (Hours)	2,250	0	4,000
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this generic clearance is to facilitate voluntary customer surveys to assess strengths in agency products and services and to evaluate how well the National Center for Health Statistics (NCHS) addresses the emerging needs of its data users.

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Authorizing Statute(s): US Code: 42 USC 242 Name of Law: Public Health Service Act
  

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:
	85 FR 16367	03/23/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 37661	06/23/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NCHS Website Users Customer Satisfaction Survey 2020-2022	n/a	NCHS Website User Customer Satisfaction Survey
[2022] Children's Forum Data User Survey and Aging Forum Data User Survey	None, None	Children's Forum Data User Survey ,   Aging Forum Data User Survey

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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	7,500	14,500	0	-7,000	0	0
Annual Time Burden (Hours)	2,250	4,000	0	-1,750	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Total burden hours have decreased reflecting updates to estimated usage of this generic.

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Annual Cost to Federal Government: $100,000

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.     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? 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: 06/23/2020

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