National Survey of Children's Health

Forms and Documents

Document Name	Status
Form NSCH-S1, NSCH-T1, National Survey of Children's Health Form	Modified
NSCH 30-Day FRN.pdf Supplementary Document	2021-02-08
Appendix F_2019 NSCH Methodology Report.pdf Supplementary Document	2021-02-02
Appendix E_2021 NSCH Traditional Production Letters.pdf Supplementary Document	2021-02-02
Appendix D_2021 NSCH Screener and Topical Questionnaire Drafts.pdf Supplementary Document	2021-02-02
Appendix C_2021 NSCH Table of State Sample Sizes.pdf Supplementary Document	2021-02-02
Appendix B_2021 NSCH Sample Frame and Sampling Flags Creation.pdf Supplementary Document	2021-02-02
Appendix A_2021 NSCH Questionnaire Content Revisions.pdf Supplementary Document	2021-02-02
2021 NSCH_SupportingStatementA_clean.docx Supporting Statement A	2021-02-02
2021 NSCH_SupportingStatementB_clean.docx Supporting Statement B	2021-02-02

IC Document Collections

IC ID	Document Title	Status
220525	National Survey of Children's Health Form	Modified

ICR Details

OMB Control No: 0607-0990	ICR Reference No: 202102-0607-001
Status: Received in OIRA	Previous ICR Reference No: 202003-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: National Survey of Children's Health
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/09/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2023
Responses	114,818	94,370
Time Burden (Hours)	39,400	29,642
Cost Burden (Dollars)	0	0

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Abstract: Sponsored primarily by the U.S. Department of Health and Human Services’ (HHS) Health Resources and Services Administration’s Maternal and Child Health Bureau (HRSA MCHB), the National Survey of Children’s Health (NSCH) is designed to produce data on the physical, emotional, and behavioral health of children under 18 years of age in the United States. The NSCH collects information on factors related to the well-being of children, including access to and quality of health care, family interactions, parental health, school and after-school experiences, and neighborhood characteristics. The goal of the 2021 NSCH is to provide HRSA MCHB, their supplemental sponsoring agencies, states, and other data users with the necessary data to support the production of national estimates yearly and state-based estimates with pooled samples on the health and well-being of children, their families, and their communities as well as estimates of the prevalence and impact of children with special health care needs.

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Authorizing Statute(s): US Code: 13 USC Section 8(b) Name of Law: null
   US Code: 42 USC Section 701(a)(2) Name of Law: null
   US Code: 42 USC Section 241 Name of Law: null
  

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:
	85 FR 71603	11/10/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8581	02/08/2021
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
National Survey of Children's Health	NSCH-S1, NSCH-T1, & NSCH-T2	2021 NSCH Screener and Topical Questionnaire

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ICR Summary 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	114,818	94,370	0	20,448	0	0
Annual Time Burden (Hours)	39,400	29,642	0	9,758	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: Increase in burden due to increase in sample size at agency discretion.

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Annual Cost to Federal Government: $6,643,406

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: 02/09/2021

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