Information Collection Request

National Health Interview Survey

ICR 202102-0920-005 · OMB 0920-0214 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0214 Health Exam Form and Instruction Unchanged Repair queued
Form 0920-0214 Adolescent Follow-back Survey Form and Instruction Unchanged Repair queued
Form 0920-0214 Re-Interview Survey Form and Instruction Unchanged Repair queued
Form 0920-0214 Methodological Projects Form and Instruction Unchanged Missing upstream
Form 0920-0214 Child Questionnaire Form and Instruction Modified Repair queued
Form 0920-0214 Adult Questionnaire Form and Instruction Modified Repair queued
Form 0920-0214 Household Roster Form and Instruction Unchanged Repair queued
NHIS Nonsubstantive Change Request 2021 Q2 COVID Vaccination Questions_2021-02-01.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-02-05 Repair queued
Att 4e - 2020 Q3 NHIS 2020 Q3 COVID-19 Items - RANDS Evaluation.docx Supplementary Document Uploaded 2020-12-23 Repair queued
Att 4d - 2020 Q3 NHIS 2020 Q3 COVID-19 Items - Preliminary analyses.docx Supplementary Document Uploaded 2020-12-23 Repair queued
Att 2d - Program Response to the Public Comments to the 30-Day Federal Register Notice.docx Supplementary Document Uploaded 2020-12-23 Repair queued
Att 3a - NHIS Survey Content Justification.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 12b - Healthy People 2030 Objectives Slated for NHIS.pdf Supplementary Document Uploaded 2020-10-20 Missing upstream
Att 8 - Precision Tables - Sample Adult, Sample Child, Sample Adolescents.xlsx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 7b - 2021-2022 (AFS) - Concepts Measured Duplication and Proposed Uses of Data.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 7a - 2021-2022 Adolescent Follow-back Survey (AFS) - Content Summary and Field Dates.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 5b - 2021 NHIS Proposed New Content - Concepts Measured, Duplication, and Proposed Uses of Data.docx Supplementary Document Uploaded 2020-12-23 Repair queued
Att 5a - 2021 NHIS Proposed New Content - Content Summary.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 4c - NHIS 2020 Q3 Emergency COVID-19 Items - OMB Approval.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 4b - 2020 Q3 NHIS 2020 Q3 COVID-19 Items - Concepts Measured, Duplication, and Proposed Uses of the Data.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 4a - 2020 Q3 NHIS 2020 Q3 COVID-19 Items - Content Summary.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 3e - NHIS Sponsored Content Repeated Annually 2021, 2022, 2023.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 3d - NHIS Annual and Rotating Core 2021, 2022, 2023 - Sample Child.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 3c - NHIS Annual and Rotating Core 2021, 2022, 2023 - Sample Adult.docx Supplementary Document Uploaded 2020-10-20 Missing upstream
Att 2c - Program Response to the Public Comments to the 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 10a - 2021 NHIS Advance Letter.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 12a - 2022-2023 NHIS Potential Content Summary.docx Supplementary Document Uploaded 2020-10-20 Repair queued
Att 11 - NHIS Human Subjects Clearance.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 10d - 2021 NHIS Thank You Letter.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 10c - Supplemental Mailings.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 10b - 2021 NHIS Brochure.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 3f - NHIS Questionnaire Redesign Consultations.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 3b - NHIS Snapshot 3 Year-Cycle Questionnaire Content and Periodicity.pdf Supplementary Document Uploaded 2020-10-20 Repair queued
Att 2a - 60 Day Federal Register Notice 2020-07977.pdf Supplementary Document Uploaded 2020-10-14 Repair queued
2021 NHIS SSB 2020-12-22-2020.docx Supporting Statement B Uploaded 2020-12-23 Repair queued
2021 NHIS SSA 2020-12-22-2020.docx Supporting Statement A Uploaded 2020-12-23 Repair queued
Att 1 - Legislative Mandates (Excerpts).pdf Supplementary Document Uploaded 2020-10-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
244155 Health Exam Form and Instruction Unchanged
244154 Adolescent Follow-back Survey Form and Instruction Unchanged
229175 Re-Interview Survey Form and Instruction Unchanged
229173 Methodological Projects Form and Instruction Unchanged
229172 Child Questionnaire Form and Instruction Modified
229171 Adult Questionnaire Form and Instruction Modified
229170 Household Roster Form and Instruction Unchanged
ICR Details
0920-0214 202102-0920-005
Received in OIRA 202010-0920-003
HHS/CDC 0920-0214-21CW
National Health Interview Survey
No material or nonsubstantive change to a currently approved collection   No
Regular 02/05/2021
  Requested Previously Approved
12/31/2023 12/31/2023
107,700 107,700
42,845 42,845
0 0

The NHIS, conducted by the National Center for Health Statistics (NCHS) since 1957, collects, on an annual basis, nationally representative data on the amount, distribution, and effects of illness and disability in the population and on the utilization of health care services for such conditions. NHIS data are used widely throughout the Department of Health and Human Services (DHHS) to monitor trends in illness and disability and to track progress toward achieving many of the health objectives for the nation. The data are also used by the public health research community for epidemiologic and policy analysis of such issues as characterizing those with various health problems, measuring levels of health insurance coverage, determining barriers to accessing and using healthcare and evaluating the impact of changes in federal health programs. The current design of the NHIS questionnaire was implemented in 1997, and consists of a standard basic or Core Module, covering general health topics and demographic characteristics that are repeated annually. In addition to the Core Module, each year supplementary questions or modules are included. Topics are rotated in and out of the annual NHIS depending on funding availability and data requirements of federal programs such as Healthy People 2020. This change request contains a proposal to add items on COVID-19 vaccination to the Sample Adult questionnaire beginning on April 1, 2021. Additionally, the NHIS is planning to add similar items to the Sample Child questionnaire beginning July 1 or October 1, 2021. This content was incorporated into the burden estimates in the initial submission, but at that time, the items themselves were not yet finalized.

PL: Pub.L. 107 - 347 511 Name of Law: Confidential Information Protection and Statistical Efficiency Act
   US Code: 42 USC 242 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  85 FR 21234 04/16/2020
85 FR 66984 10/21/2020
Yes

  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 107,700 107,700 0 0 0 0
Annual Time Burden (Hours) 42,845 42,845 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden changed due to differences in respondent numbers and changes to the burden per instrument changes. Also different instruments were added and deleted.

$42,000,000
Yes Part B of Supporting Statement
    Yes
    Yes
Yes
No
No
Yes
Kevin Joyce 404 639-1944 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/05/2021