National Health Interview Survey

OMB Control No: 0920-0214	ICR Reference No: 201606-0920-006
Status: Historical Active	Previous ICR Reference No: 201512-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AQB
Title: National Health Interview Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/09/2016
Terms of Clearance: Previous Terms of Clearance/Comments continue: CDC/NCHS may use the non-substantive change mechanism to modify existing questions, including those designed to add depth/additional detail and cycle in and out supplemental modules that have been used in the past years (with modest updates). If new supplemental modules, new questionnaire instruments, or modifications to the sample are anticipated, a full revision of the ICR package must be submitted to OMB. The results of the incentive experiment should be shared with OMB when available.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	01/31/2019	01/31/2019
Responses	160,000	0	160,000
Time Burden (Hours)	49,000	0	49,000
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention and the National Center for Health Statistics is requesting a non-substantive change request to conduct a methodological study of an adaptive design approach for recruiting.

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Authorizing Statute(s): US Code: 42 USC 242 Name of Law: Public Health Service Act    PL: Pub.L. 107 - 347 511 Name of Law: Confidential Information Protection and Statistical Efficiency 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:
	80 FR 53157	09/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 76291	12/08/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title Form No. Form Name Sample Adult Core Questionnaire NA 2016 Sample Adult Core Questionnaire Methodological Projects - Adult Family Member None 2015 Follow-back Survey Family Core Questionnaire NA 2016 Family Core Questionnaire Sample Child Core Questionnaire NA 2016 Sample Child Core Questionnaire New Supplements and Core Changes NA 2016 New Supplemental Questions Reinterview Survey NA 2016 Reinterview Questionnaire

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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	160,000	160,000	0	0	0	0
Annual Time Burden (Hours)	49,000	49,000	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: Change in burden is the result of a Revision to 0920-0214. The difference is the result of not screening for minority households in the new design. There will no longer be 5 minute doorstep interview(s) on up to 10,000 addresses per year, however there is an addition of burden in 2016 for methodological activities associated with the upcoming questionnaire redesign.

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Annual Cost to Federal Government: $42,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? Yes

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? Uncollected

Agency Contact: Jeffrey Zirger 404 639-7118 [email protected]

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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: 06/09/2016

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