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pdfAttachment 4 c- NHIS 2020 Q3 Emergency COVID-19 Items - OMB Approval
NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date
06/22/2020
Department of Health and Human Services
Centers for Disease Control and Prevention
FOR CERTIFYING OFFICIAL:
Jose Arrieta
FOR CLEARANCE OFFICER:
Debbie Kramer
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
06/17/2020
ACTION REQUESTED:
Revision of a currently approved collection
TYPE OF REVIEW REQUESTED:
Emergency
ICR REFERENCE NUMBER:
202006-0920-009
AGENCY ICR TRACKING NUMBER:
TITLE:
0920-0214
Changes to 2020 National Health Interview Survey in light of Novel Coronavirus (2019-nCoV)
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER:
0920-0214
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 12/31/2020
BURDEN:
DISCONTINUE DATE:
RESPONSES
HOURS
COSTS
88,450
34,371
0
122,579
49,893
0
0
0
0
34,129
15,522
0
Change due to Agency Adjustment
0
0
0
Change due to PRA Violation
0
0
0
Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion
TERMS OF CLEARANCE:
Previous terms continue: Approved consistent with NCHS's commitment to develop guidelines
for sponsored content, including the impact on the total length of the NHIS and the criteria to
be used to determine if the sponsored content is appropriate for the NHIS. Non-substantive
change mechanism may be used to modify existing questions and add depth/additional detail
to existing questions. Requests to add questions, including cycling modules in or out, must be
consistent with the principles of the recent redesign.
OMB Authorizing Official:
Paul Ray
Administrator,
Office Of Information And Regulatory Affairs
List of ICs
IC Title
Form No.
Re-Designed Household
Roster
Re-Designed Adult
Questionnaire
Re-Designed Child
Questionnaire
Methodological Projects
0920-0214
Re-Designed Re-Interview
Survey
COVID-Related Questions
Sample Adult
COVID-Related Questions
Adult Family Member
COVID-Related Questions
Sample Adult 2019 Followback
0920-0214
0920-0214
0920-0214
0920-0214
Form Name
Redesigned Household
Rooster
Redesigned Adult
Questionnaire
Redesigned Child
Questionnaire
Methodological Projects
0920-0214
Re-Designed Re-Interview
Survey
Sample Adult
0920-0214
Adult Family Member
0920-0214
Sample Adult 2019 Followback
CFR Citation
File Type | application/pdf |
File Modified | 2020-08-28 |
File Created | 2020-06-23 |