National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection

Forms and Documents

Document Name	Status
Form 1 National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection Form	Modified
OMB Supporting Statement(B).docx Supporting Statement B	2009-09-03
Appendix D Privacy Act memo.docx Supplementary Document	2009-09-03
Appendix C Caller Anonymity.doc Supplementary Document	2009-09-03
Appendix B Surve Data.xlsx Supplementary Document	2009-09-03
OMB Supporting Statement(A).docx Supporting Statement A	2009-09-03

IC Document Collections

IC ID	Document Title	Status
43629	National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection Form	Modified

ICR Details

OMB Control No: 0925-0520	ICR Reference No: 200909-0925-001
Status: Historical Active	Previous ICR Reference No: 200606-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/26/2009
	Date Received in OIRA: 09/14/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	983	0	2,049
Time Burden (Hours)	74	0	133
Cost Burden (Dollars)	0	0	0

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Abstract: NCCAM provides the public, patients, families, health care providers, complementary and alternative medicine (CAM) practitioners, and others with the latest scientifically based information on CAM and information about NCCAM's programs through a variety of channels including its toll-free telephone information service and its quarterly newsletter. NCCAM wishes to measure customer satisfaction with NCCAM telephone interactions and the NCCAM newsletter and to assess which audiences are being reached through these channels.

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Authorizing Statute(s): US Code: 42 USC 287c-21 Name of Law: the dissemination of health information
  

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:
	74 FR 30577	06/26/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 45862	09/04/2009
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 Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection	1	Survey

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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	983	2,049	0	-1,066	0	0
Annual Time Burden (Hours)	74	133	0	-59	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision with the total annual hours decreasing. Burden hours and the cost to the Federal Government have been adjusted based on actual results of previous surveys of these services. Burden hours are also adjusted to reflect the elimination of the previously included newsletter survey.

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Annual Cost to Federal Government: $10,193

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]? 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)? No

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: 09/14/2009

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