National Sleep Study

Forms and Documents

Document Name	Status
Appendix_D_Postal_survey.docx Supplementary Document	2021-03-30
Appendix_I_Consent_form.docx Supplementary Document	2021-03-30
Appendix_L_Postal_survey_development.docx Supplementary Document	2020-11-30
Appendix_K_Field_study_morning_survey.docx Supplementary Document	2020-11-30
Appendix_J_Characteristics_questionnaire.docx Supplementary Document	2020-11-30
Appendix_H_Telephone_script_scheduling_field_study_participants.docx Supplementary Document	2020-11-30
Appendix_G_Telephone_script_we_call_interested_respondent.docx Supplementary Document	2020-11-30
Appendix_F_Telephone_script_respondent_calls_us.docx Supplementary Document	2020-11-30
Appendix_E_NSS_survey_cover.docx Supplementary Document	2020-11-30
Appendix_C_Follow-up_mailing_cover_letter.docx Supplementary Document	2020-11-30
Appendix_B_Initial_mailing_cover_letter.docx Supplementary Document	2020-11-30
Appendix_A_Pilot_study_data.docx Supplementary Document	2020-11-30
OMB_app_Part_A_20200324.docx Supporting Statement A	2021-03-24
OMB_app_Part_B_20201130.docx Supporting Statement B	2020-11-30

IC Document Collections

IC ID	Document Title	Status
244709	Field Study: Physiologic Measurements	New
244707	Field Study: Arranging for Participation	New
244705	Field Study: Morning Survey Other-Morning Survey	New
244690	Field Study: Characteristics Questionnaire Other-Characteristics Questionnaire	New
244689	Postal Survey Other-	New

ICR Details

OMB Control No:	ICR Reference No: 202006-2120-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: National Sleep Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/09/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	9,200	0
Time Burden (Hours)	1,633	0
Cost Burden (Dollars)	0	0

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Abstract: The main purpose of the National Sleep Study is to collect nationally representative information on the effects of aircraft noise on sleep and to derive exposure-response relationships between aircraft noise and its effect on communities around United States civilian airports. This Study will collect information about single aircraft noise events levels and the probability of resident's waking up. The FAA will use the information from this collection to derive the empirical data to inform any potential updates to or validation of the national aviation noise policy.

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Authorizing Statute(s): None

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 65453	11/27/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 15769	03/24/2021
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Field Study: Arranging for Participation
Field Study: Characteristics Questionnaire
Field Study: Morning Survey
Field Study: Physiologic Measurements
Postal Survey

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ICR Summary of Burden

	Total Request	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	9,200	0	0	9,200	0	0
Annual Time Burden (Hours)	1,633	0	0	1,633	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: This is a new collection

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Annual Cost to Federal Government: $868,104

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: 04/09/2021

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