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Federal Register / Vol. 87, No. 189 / Friday, September 30, 2022 / Notices
The total response burden is
estimated at 27,924 hours over three
years between summer 2023 and

December 2025. The total annualized
burden hours during this period are
estimated at 9,308. Participation is

voluntary and there are no costs to
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden
perresponse
(in hours)

Form name

General Population .........................................
Adult Smokers, ages 18–54, in the United
States.

Screening & Consent .....................................
Smoker Survey Wave A .................................

16,667
2,668

1
1

5/60
20/60

Smoker Survey Wave B .................................
Smoker Survey Wave C ................................
Smoker Survey Wave D ................................
Smoker Survey Wave E .................................
Smoker Survey Wave F .................................
Smoker Survey Wave G ................................
Smoker Survey Wave H ................................
Smoker Survey Wave I ..................................
Nonsmoker Survey Wave A ...........................

1,667
1,667
1,667
1,667
1,667
1,667
1,667
1,667
1,100

1
1
1
1
1
1
1
1
1

20/60
20/60
20/60
20/60
20/60
20/60
20/60
20/60
20/60

833
833
833
833
833
833
833
833

1
1
1
1
1
1
1
1

20/60
20/60
20/60
20/60
20/60
20/60
20/60
20/60

Adult Nonsmokers, ages 18–54, in the United
States.

Nonsmoker
Nonsmoker
Nonsmoker
Nonsmoker
Nonsmoker
Nonsmoker
Nonsmoker
Nonsmoker

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2022–21217 Filed 9–29–22; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–22–0222; Docket No. CDC–2022–
0118]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other federal
agencies the opportunity to comment on
a continuing information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled the
Collaborating Center for Questionnaire

SUMMARY:

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Number of
respondents

Respondent type

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Survey
Survey
Survey
Survey
Survey
Survey
Survey
Survey

Wave
Wave
Wave
Wave
Wave
Wave
Wave
Wave

B ...........................
C ..........................
D ..........................
E ...........................
F ...........................
G ..........................
H ..........................
I ............................

Design and Evaluation Research
(CCQDER). This Generic Clearance
request allows CDC to conduct cognitive
testing activities, and includes a general
questionnaire for development, pretesting, and measurement-error
reduction activities to be carried out in
2022–2025.
DATES: CDC must receive written
comments on or before November 29,
2022.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2022–
0118 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) or by U.S. mail to
the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Jeffrey M. Zirger,
Information Collection Review Office,

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Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7570; Email: omb@
cdc.gov.
Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to the OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,

SUPPLEMENTARY INFORMATION:

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Federal Register / Vol. 87, No. 189 / Friday, September 30, 2022 / Notices

including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected;
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses; and
5. Assess information collection costs.

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Proposed Project
The Collaborating Center for
Questionnaire Design and Evaluation
Research (CCQDER) (OMB Control No.
0920–0222, Exp. 09/30/2024)—
Revision—National Center for Health
Statistics (NCHS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes that the Secretary
of Health and Human Services (DHHS),
acting through NCHS, shall undertake
and support (by grant or contract)
research, demonstrations, and
evaluations respecting new or improved
methods for obtaining current data to
support statistical and epidemiological
activities for the purpose of improving
the effectiveness, efficiency, and quality
of health services in the United States.
The Collaborating Center for
Questionnaire Design and Evaluation
Research (CCQDER) is the focal point
within NCHS for questionnaire and
survey development, pre-testing, and
evaluation activities for CDC surveys
such as the National Survey of Family
Growth (NSFG), the Research and
Development Survey (RANDS)
(including RANDS COVID), and other
federally sponsored surveys. The
CCQDER is requesting three years of
OMB Clearance for this generic
submission.
The CCQDER and other NCHS
programs conduct cognitive interviews,
focus groups, in-depth or ethnographic
interviews, usability tests, field tests/
pilot interviews, and experimental
research in laboratory and field settings,
both for applied questionnaire
development and evaluation as well as
more basic research on measurement
errors and survey response. Various
techniques to evaluate interviewer
administered, self-administered,
telephone, Computer Assisted Personal
Interviewing (CAPI), Computer Assisted
Self-Interviewing (CASI), Audio
Computer-Assisted Self-Interviewing

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(ACASI), and web-based questionnaires
are used.
The most common questionnaire
evaluation method is the cognitive
interview. The interview structure
consists of respondents first answering
a draft survey question and then
providing textual information to reveal
the processes involved in answering the
test question. Specifically, cognitive
interview respondents are asked to
describe how and why they answered
the question as they did. Through the
interviewing process, various types of
question-response problems that would
not normally be identified in a
traditional survey interview, such as
interpretive errors and recall accuracy,
are uncovered. By conducting a
comparative analysis of cognitive
interviews, it is also possible to
determine whether particular
interpretive patterns occur within
particular sub-groups of the population.
Interviews are generally conducted in
small rounds totaling 40–100
interviews; ideally, the questionnaire is
re-worked between rounds, and
revisions are tested iteratively until
interviews yield relatively few new
insights.
Cognitive interviewing is inexpensive
and provides useful data on
questionnaire performance while
minimizing respondent burden.
Cognitive interviewing offers a detailed
depiction of meanings and processes
used by respondents to answer
questions—processes that ultimately
produce the survey data. As such, the
method offers an insight that can
transform understanding of question
validity and response error.
Documented findings from these studies
represent tangible evidence of how the
question performs. Such documentation
also serves CDC data users, allowing
them to be critical users in their
approach and application of the data.
In addition to cognitive interviewing,
a number of other qualitative and
quantitative methods are used to
investigate and research measurement
errors and the survey response process.
These methods include conducting
focus groups, usability tests, in-depth or
ethnographic interviews, and the
administration and analysis of questions
in both representative and nonrepresentative field tests. Focus groups
are conducted by the CCQDER. They are
group interviews whose primary
purpose is to elicit the basic
sociocultural understandings and
terminology that form the basis of
questionnaire design. Each group
typically consists of one moderator and
four to 10 participants, depending on
the research question. In-depth or

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ethnographic interviews are one-on-one
interviews designed to elicit the
understandings or terminology that are
necessary for question design, as well as
to gather detailed information that can
contribute to the analysis of both
qualitative and quantitative data.
Usability tests are typically one-on-one
interviews that are used to determine
how a given survey or information
collection tool functions in the field,
and how the mode and layout of the
instrument itself may contribute to
survey response error and the survey
response process.
In addition to these qualitative
methods, NCHS also uses various tools
to obtain quantitative data, which can
be analyzed alone or analyzed alongside
qualitative data to give a much fuller
accounting of the survey response
process. For instance, phone, internet,
mail, and in-person follow-up
interviews of previous NCHS survey
respondents may be used to test the
validity of survey questions and
questionnaires and to obtain more
detailed information that cannot be
gathered on the original survey. Field or
pilot tests may be conducted on both
representative and non-representative
samples, including those obtained from
commercial survey and web panel
vendors. Beyond looking at traditional
measures of survey errors (such as item
missing rates and non-response, and
don’t know rates), these pilot tests can
be used to run experimental designs in
order to capture how different questions
function in a field setting. Similar
methodology has been adopted by other
federal agencies, as well as by academic
and commercial survey organizations.
In 2022–2025 NCHS/CCQDER staff
plans to continue research on methods
evaluation and general questionnaire
design research. We envision that over
the next three years, NCHS/CCQDER
will work collaboratively with survey
researchers from universities and other
federal agencies to define and examine
several research areas, including, but
not limited to: (1) differences between
face-to-face, telephone, and virtual/
video-over internet cognitive
interviewing; (2) effectiveness of
different approaches to cognitive
interviewing, such as concurrent and
retrospective probing; (3) reactions of
both survey respondents and survey
interviewers to the use of Computer
Assisted Personal Interviewing (CAPI),
Audio Computer-Assisted SelfInterview (ACASI), video-over internet/
virtual; (4) social, cultural and linguistic
factors in the question response process;
and (5) recruitment and respondent
participation at varying levels of
incentive in an effort to establish

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Federal Register / Vol. 87, No. 189 / Friday, September 30, 2022 / Notices
empirical evidence regarding
remuneration and coercion. Procedures
for each of these studies will be similar
to those applied in the usual testing of
survey questions. For example,
questionnaires that are of current
interest (such as RANDS and NIOSH)
may be evaluated using several of the
techniques described above, or different
versions of a survey question will be

Types of
respondents
Individuals
Individuals
Individuals
Individuals
Individuals

or
or
or
or
or

households
households
households
households
households

Estimated Annualized Burden Table
Number of
responses per
respondent

Number of
respondents

Form name

Average
hours per
response
(in hours)

Total
burden
hours

.................
.................
.................
.................
.................

Eligibility Screeners ..........................
Developmental Questionnaires ........
Respondent Data Collection Sheet ..
Focus Group Documents .................
RANDS Methodological Surveys .....

4,400
8,750
8,750
225
49,800

1
1
1
1
1

5/60
55/60
5/60
1.5
15/60

367
8,021
729
338
12,450

Total ...........................................

...........................................................

........................

........................

........................

21,905

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2022–21221 Filed 9–29–22; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–22–0234]

Agency Forms Undergoing Paperwork
Reduction Act Review

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to our specific questionnaire
development activities in order to
improve the methods that we use to
conduct questionnaire testing, and to
guide questionnaire design in general.
CDC requests OMB approval for an
estimated 21,905 annualized burden
hours. There is no cost to respondents
other than their time to participate.

developed, and the variants then
administered to separate groups of
respondents in order to study the
cognitive processes that account for the
differences in responses obtained across
different versions.
These studies will be conducted
either by CCQDER staff, DHHS staff, or
NCHS contractors who are trained in
cognitive interviewing techniques. The
results of these studies will be applied

In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled ‘‘The National
Ambulatory Medical Care Survey
(NAMCS)’’ to the Office of Management
and Budget (OMB) for review and
approval. CDC previously published a
‘‘Proposed Data Collection Submitted
for Public Comment and
Recommendations’’ notice on March 18,
2022, to obtain comments from the
public and affected agencies. One nonsubstantive public comment was
received related to the previous notice.
This notice serves to allow an additional
30 days for public and affected agency
comments.
CDC will accept all comments for this
proposed information collection project.
The Office of Management and Budget
is particularly interested in comments
that:
(a) Evaluate whether the proposed
collection of information is necessary

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for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
(b) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected;
(d) Minimize the burden of the
collection of information on those who
are to respond, including, through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and
(e) Assess information collection
costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570.
Comments and recommendations for the
proposed information collection should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Direct written
comments and/or suggestions regarding
the items contained in this notice to the
Attention: CDC Desk Officer, Office of
Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by
fax to (202) 395–5806. Provide written
comments within 30 days of notice
publication.

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Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB Control No.
0920–0234, Exp. 07/31/2024)—
Revision—National Center for Health
Statistics (NCHS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The National Ambulatory Medical
Care Survey (NAMCS) was conducted
intermittently from 1973 through 1985,
and annually since 1989. The survey is
conducted under authority of Section
306 of the Public Health Service Act (42
U.S.C. 242k). NAMCS is part of the
ambulatory care component of the
National Health Care Surveys (NHCS), a
family of provider-based surveys that
capture health care utilization from a
variety of settings, including hospital
inpatient and long-term care facilities.
NCHS surveys of health care providers
include NAMCS, the National Hospital
Ambulatory Medical Care Survey
(NHAMCS) (OMB Control No. 0920–
0278), the National Hospital Care
Survey (OMB Control No. 0920–0212),
and the National Post-acute and Longterm Care Study (OMB Control No.
0920–0943).
An overarching purpose of NAMCS is
to meet the needs and demands for
statistical information about the
provision of ambulatory medical care
services in the United States; this fulfills
one of NCHS missions, to collect,
analyze, and disseminate timely,
relevant, and accurate health data and
statistics. In addition, NAMCS provides
ambulatory medical care data to study:
(1) the performance of the U.S. health
care system; (2) care for the rapidly
aging population; (3) changes in services

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