NCHS Questionnaire Design Research Laboratory

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6688	NCHS Questionnaire Design Research Laboratory	Migrated

ICR Details

OMB Control No: 0920-0222	ICR Reference No: 200312-0920-001
Status: Historical Active	Previous ICR Reference No: 200012-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS Questionnaire Design Research Laboratory
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/14/2004
	Date Received in OIRA: 12/04/2003
Terms of Clearance: NCHS will continue to submit individual requests via email to OMB of plans to conduct collections under this generic clearance. OMB will provide feedback via email within 10 days of each request. Approval is NOT given to pay $50 for regular, routine cognitive laboratory interviews. Rather, NCHS is permitted to offer a standard remuneration of $40; requests to provide a higher remuneration must be fully justified and will be evaluated on a case-by-case basis. NCHS shall provide an annual summary of prior year test activities that were conducted under this clearance. This summary shall include a description of the surveys tested, the research methods used, the results, the number of respondents included in each test, and the renumeration paid. Additional information such as demographic profiles of respondents and recruitment methods would be welcome.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2007	01/31/2007	02/29/2004
Responses	460	0	550
Time Burden (Hours)	600	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: This submission describes proposed activities of the NCHS Questionnaire Design Research Laboratory. Survey specific research activities include questionnaire testing and development for NCHS, other CDC CIOs, and other Federal agencies. General methodological research on the cognitive aspects of survey methodology and studies of optimal design for the presentation of health data will be pursued. Methods for data collection include cognitive interviewing, focus groups, pilot household interviews, and Internet surveys.

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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:

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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

IC Title	Form No.	Form Name
NCHS Questionnaire Design Research Laboratory

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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	460	550	0	-90	0	0
Annual Time Burden (Hours)	600	600	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 12/04/2003

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