NATIONAL CENTER FOR HEALTH STATISTICS RESEARCH AND DEVELOPMENT SURVEY (ROUND 3)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Web Questionnaire Introduction Screen / Telephone Interview Introduction / RANDS during COVID-19 Questionnaire	Form and Instruction	New	Available
RANDS (Round 3) during COVID-19	Form and Instruction	New	Repair queued
Att J - NORC Field Report for RANDS during COVID-19 Round 2.pdf	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att I - NORC Field Report for RANDS during COVID-19 Round 1.pdf	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att H - Health and Health Care Access Questions Across Federal Surveys During COVID-19.docx	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att G - RANDS during COVID-19 Variable Crosswalk, Uses, and Power Calculation_01 28 2021.xlsx	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att F - Abstracts of Previous RANDS Research on Estimation and Calibration.docx	Supplementary Document	Uploaded 2021-02-02	Available
Att E - NCHS ERB Approval Notice_Extended 03 01 2021.pdf	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att D - NCHS Non-Disclosure Affidavit for NORC Organization Staff working on RANDS.docx	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att C - NORC CIPESA Protection Plan.docx	Supplementary Document	Uploaded 2021-02-02	Repair queued
Att A - Pub Health Serv Act.docx	Supplementary Document	Uploaded 2021-02-02	Repair queued
Supp Statement B_RANDS COVID19 Round 3_01_13_2021.docx	Supporting Statement B	Uploaded 2021-02-02	Repair queued
Supp Statement A_RANDS COVID19 Round 3_01 28 2021.docx	Supporting Statement A	Uploaded 2021-02-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245515	RANDS (Round 3) during COVID-19	Form and Instruction	New	Web Questionnaire Introduction Screen / Telephone Interview Introduction / RANDS during COVID-19 Questionnaire
245515	RANDS (Round 3) during COVID-19	Form and Instruction	New

ICR Details

OMB Control No: 0920-1323	ICR Reference No: 202102-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-21CM
Title: NATIONAL CENTER FOR HEALTH STATISTICS RESEARCH AND DEVELOPMENT SURVEY (ROUND 3)
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: 02/03/2021
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/08/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/02/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	6 Months From Approved
Responses	5,200	0	0
Time Burden (Hours)	1,733	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: RANDS (Round 3) study is designed to: (a) generate data that can help explain health-related experiences of the US population during the pandemic and (b) continue developmental survey methods research.

Emergency Justfication: This ICR is time-sensitive and is therefore being requested under emergency procedures. The United States is continuing to experience a pandemic due to the novel Coronavirus, and CDC requires timely information about the public’s experiences with the virus, the COVID-19 disease, and the pandemic response. The information provided by this data collection will allow CDC and NCHS to target its ongoing public communication and to collect valid data in future information collections. In addition to continuing the methodological objectives of previous RANDS (including the previous two rounds of RANDS during COVID-19), given the ongoing demands for timely information related to the COVID-19 pandemic, NCHS proposes to take advantage of past methodological advancements of the RANDS program to use the survey to provide information on selected population health characteristics related to COVID-19.

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Authorizing Statute(s): US Code: 42 USC 242 Name of Law: U.S. 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: 1

table that charts list of burden

IC Title	Form No.	Form Name
RANDS (Round 3) during COVID-19	NA	Web Questionnaire Introduction Screen / Telephone Interview Introduction / RANDS during COVID-19 Questionnaire

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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	5,200	0	0	5,200	0	0
Annual Time Burden (Hours)	1,733	0	0	1,733	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: Submission of 0920-21CM is a New Emergency ICR.

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Annual Cost to Federal Government: $384,282

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? 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: 02/02/2021

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