[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB0920-0222_60 Day FRN Comment_4.20.26.pdf	Public Comments	Uploaded 2026-07-06	Available
OMB0920-0222_CCQDER Response to 60d FRN Public Comment_4.20.26.docx	Public Comments	Uploaded 2026-07-06	Available
Change Request Memo - EO14168 - 0920-0222 (RANDS 11).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-22	Available
Att B 60-Day Published FRN 9_30_2022.pdf	Supplementary Document	Uploaded 2022-12-14	Available
OMB0920-0222_Supporting Statement B_0106.docx	Supporting Statement B	Uploaded 2026-07-06	Available
OMB0920-0222_Supporting Statement A_7.6.26.docx	Supporting Statement A	Uploaded 2026-07-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0920-0222	ICR Reference No: 202606-0920-011
Status: Received in OIRA	Previous ICR Reference No: 202504-0920-019
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0235
Title: [NCHS] Collaborating Center for Questionnaire Design and Evaluation Research
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/06/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	215,775	0
Time Burden (Hours)	65,715	0
Cost Burden (Dollars)	1,840,677	0

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Abstract: This generic clearance request encompasses general questionnaire development, pre-testing, measurement-error reduction activities to be carried out in 2021-2024 in the Division of Research and Methodology, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The change request is for RANDS 11 to adhere to recent executive orders. This generic reinstatement without change requests 14,100 annualized burden hours, totaling 42,300 burden hours over a three-year period.

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Authorizing Statute(s): US Code: 42 USC 242k 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:
	91 FR 11309	03/09/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 38714	06/26/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

table that charts list 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	215,775	0	0	215,775	0	0
Annual Time Burden (Hours)	65,715	0	0	65,715	0	0
Annual Cost Burden (Dollars)	1,840,677	0	0	1,840,677	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 generic clearance requests 14,100 annualized burden hours, totaling 42,300 burden hours over a three-year period. No substantive changes have been made since the previous submission, other than a reduction of 7,805 burden hours. The decrease reflects a lower projected number of focus groups and individual or household respondents.

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Annual Cost to Federal Government: $2,958,325

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: 07/06/2026

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