Changes to 2020 National Health Interview Survey in light of Novel Coronavirus (2019-nCoV)

Forms and Documents

Document Name	Status
Form 0920-0214 COVID-Related Questions Sample Adult 2019 Follow-back Form and Instruction	New
Form 0920-0214 COVID-Related Questions Adult Family Member Form and Instruction	New
Form 0920-0214 COVID-Related Questions Sample Adult Form and Instruction	New
Form 0920-0214 Re-Designed Re-Interview Survey Form and Instruction	Unchanged
Form 0920-0214 Methodological Projects Form and Instruction	Unchanged
Form 0920-0214 Re-Designed Child Questionnaire Form and Instruction	Unchanged
Form 0920-0214 Re-Designed Adult Questionnaire Form and Instruction	Unchanged
Form 0920-0214 Re-Designed Household Roster Form and Instruction	Unchanged
2020 Q3 Emergency NHIS Letter 06152020.doc.pdf Supplementary Document	2020-06-17
2020 Q3 Emergency NHIS Attachment D ICR 0920-0214 SSA.docx Supplementary Document	2020-06-17
2020 Q3 Emergency NHIS Attachment C Power Calculations 6022020.xlsx Supplementary Document	2020-06-17
2020 Q3 Emergency NHIS Attachment B 06032020.docx Supplementary Document	2020-06-17
NHIS Nonsubstantive Change Request 2020 clean_120919PM.docx Justification for No Material/Nonsubstantive Change	2019-12-11
Att 4_AdvanceLetterRevised.pdf Supplementary Document	2019-12-11
Att 1 Changes to the rotating core and sponsored content.docx Supplementary Document	2019-12-11
Att 4 - Adv Letter 071618.pdf Supplementary Document	2018-07-23
Att 1 Proposed changes.docx Supplementary Document	2018-07-23
NHIS Nonsubstantive Change Request 071618.docx Justification for No Material/Nonsubstantive Change	2018-07-23
Att 12 Listing of Proposed Items for 2019 and 2020.docx Supplementary Document	2017-12-27
Att 11 - ERB Approval Notice.pdf Supplementary Document	2017-11-28
Att 10d - Thank you letter.pdf Supplementary Document	2017-11-28
Att 10c - Sup Mailings.pdf Supplementary Document	2017-11-28
Att 10b - NHIS Brochure.pdf Supplementary Document	2017-11-28
Att 9 - Redesign Consultations.pdf Supplementary Document	2017-11-28
Att 8 - Data Collection Proc.pdf Supplementary Document	2017-11-28
Att 4f - Main Q Flashcards.pdf Supplementary Document	2017-11-28
Att 4e REV - Main Q Sup Descr.pdf Supplementary Document	2017-11-28
Att 3d - Need Core Mod Redesigned Q.pdf Supplementary Document	2017-11-28
Att 3c - Need Core Mod Main Q.pdf Supplementary Document	2017-11-28
Att 3b - Main and Redes Ques Struc.pdf Supplementary Document	2017-11-28
Att 3a - Redes Q Modules and Peri.pdf Supplementary Document	2017-11-28
Att 2b Public Comments.docx Supplementary Document	2017-11-28
Att 2a - 60 Day FRN 102417.pdf Supplementary Document	2017-11-28
2020 Q3 Emergency NHIS SSB 06172020.docx Supporting Statement B	2020-06-17
2020 Q3 Emergency NHIS SSA 06172020.docx Supporting Statement A	2020-06-17
Att 1 - Legislative Mandates.pdf Supplementary Document	2016-11-30

IC Document Collections

IC ID	Document Title	Status
242299	COVID-Related Questions Sample Adult 2019 Follow-back Form and Instruction	New
242298	COVID-Related Questions Adult Family Member Form and Instruction	New
242297	COVID-Related Questions Sample Adult Form and Instruction	New
229175	Re-Designed Re-Interview Survey Form and Instruction	Unchanged
229173	Methodological Projects Form and Instruction	Unchanged
229172	Re-Designed Child Questionnaire Form and Instruction	Unchanged
229171	Re-Designed Adult Questionnaire Form and Instruction	Unchanged
229170	Re-Designed Household Roster Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-0214	ICR Reference No: 202006-0920-009
Status: Historical Active	Previous ICR Reference No: 201912-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0214
Title: Changes to 2020 National Health Interview Survey in light of Novel Coronavirus (2019-nCoV)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/18/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/22/2020
	Date Received in OIRA: 06/17/2020
Terms of Clearance: Previous terms continue: Approved consistent with NCHS's commitment to develop guidelines for sponsored content, including the impact on the total length of the NHIS and the criteria to be used to determine if the sponsored content is appropriate for the NHIS. Non-substantive change mechanism may be used to modify existing questions and add depth/additional detail to existing questions. Requests to add questions, including cycling modules in or out, must be consistent with the principles of the recent redesign.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	6 Months From Approved	12/31/2020
Responses	122,579	0	88,450
Time Burden (Hours)	49,893	0	34,371
Cost Burden (Dollars)	0	0	0

---

Abstract: The NHIS, conducted by the National Center for Health Statistics (NCHS) since 1957, collects, on an annual basis, nationally representative data on the amount, distribution, and effects of illness and disability in the population and on the utilization of health care services for such conditions. NHIS data are used widely throughout the Department of Health and Human Services (DHHS) to monitor trends in illness and disability and to track progress toward achieving many of the health objectives for the nation. The data are also used by the public health research community for epidemiologic and policy analysis of such issues as characterizing those with various health problems, measuring levels of health insurance coverage, determining barriers to accessing and using healthcare and evaluating the impact of changes in federal health programs. The current design of the NHIS questionnaire was implemented in 1997, and consists of a standard basic or Core Module, covering general health topics and demographic characteristics that are repeated annually. In addition to the Core Module, each year supplementary questions or modules are included. Topics are rotated in and out of the annual NHIS depending on funding availability and data requirements of federal programs such as Healthy People 2020. This request is to modify the National Health Interview Survey (NHIS) by (1) adding COVID-19 related content and (2) modify data collection procedures to adapt to changing field conditions due to COVID-19. This request adds 31 COVID-19 related items to and remove 4 lung cancer items from the survey beginning July 1 and ending December 31. The burden hours associated with modifying the current 2020 Quarter 3 instrument and administering the 2020 Questionnaire (including the COVID-19 items) to the 2019 sample is expected to increase the overall burden from 33,921 to 49,443 hours

Emergency Justfication: As of June 14, 2020, the pandemic caused by a novel coronavirus (2019-nCoV) has resulted in 2,063,812 confirmed human infections and 115,271 deaths in the United States. However much remains unknown about the pandemic’s impact on the health and social well-being of the American public. CDC has determined that the requested revisions to this collection must be collected prior to the expiration of time periods established under Part 1320, and that this information is essential to the Centers for Disease Control and Prevention’s (CDC) emergency response to the outbreak of a novel coronavirus. This request is to add 31 COVID-19 related items to the NHIS beginning July 1 and ending December 31 and to field a follow-up telephone survey with 2019 NHIS sample adults beginning August 1 and ending December 31. CDC cannot reasonably comply with the normal clearance given the urgent necessity to collect and disseminate health care access and measurement error-related data in a timely manner. Therefore, CDC requests a 180-day emergency clearance to launch this pair of general population surveys to obtain these data.

---

Authorizing Statute(s): US Code: 42 USC 242 Name of Law: Public Health Service Act
   PL: Pub.L. 107 - 347 511 Name of Law: Confidential Information Protection and Statistical Efficiency 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

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Re-Designed Household Roster	0920-0214	Redesigned Household Rooster
Re-Designed Re-Interview Survey	0920-0214	Re-Designed Re-Interview Survey
Re-Designed Child Questionnaire	0920-0214	Redesigned Child Questionnaire
Methodological Projects	0920-0214	Methodological Projects
Re-Designed Adult Questionnaire	0920-0214	Redesigned Adult Questionnaire
COVID-Related Questions Sample Adult	0920-0214	Sample Adult
COVID-Related Questions Adult Family Member	0920-0214	Adult Family Member
COVID-Related Questions Sample Adult 2019 Follow-back	0920-0214	Sample Adult 2019 Follow-back

---

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	122,579	88,450	0	34,129	0	0
Annual Time Burden (Hours)	49,893	34,371	0	15,522	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: Added COVID-related questions including a 2019 follow-back survey. The burden hours were off a little in the ROCIS Burden section from the last Change Request but were correctly listed in the SSA.

---

Annual Cost to Federal Government: $42,000,000

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]? Yes

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

---

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: 06/17/2020

---