[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research

ICR 202504-0920-019

OMB: 0920-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Modified
Form
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2025-04-22
Supplementary Document
2022-12-14
Supporting Statement B
2022-12-02
Supporting Statement A
2022-12-02
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
Supplementary Document
2021-08-03
ICR Details
0920-0222 202504-0920-019
Received in OIRA 202212-0920-003
HHS/CDC 0920-25-0099
[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research
No material or nonsubstantive change to a currently approved collection   No
Regular 05/01/2025
  Requested Previously Approved
01/31/2026 01/31/2026
215,775 215,775
65,715 65,715
1,840,677 1,840,677

This generic clearance request encompasses general questionnaire development, pre-testing, measurement-error reduction activities to be carried out in 2021-2024 in the Division of Research and Methodology, National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The change request is for RANDS 11 to adhere to recent executive orders.

US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  87 FR 59425 09/30/2022
87 FR 76049 12/12/2022
No

14
IC Title Form No. Form Name
CCQDER - Questions on Subjective Cognitive Decline 0920-0222, 0920-0222, 0920-0222 Cognitive Decline - Screening Script ,   Questions to be Cognitively Tested ,   Respondent Data Collection Sheet
GenIC for CCQDER's RANDS 9 1 qustionnaire
[NCHS] 2024 NHIS Diabetes 0920-0222 (25BG), 0920-0222 (25BG), 0920-0222 (25BG), 0920-0222 (25BG) Focus Grouip Protocol ,   Focus Group Telephone Screening Script ,   Respondent Data Collection Sheet ,   Cognitive Interviewing Telephone Screening Script
[NCHS] BMI Focus Groups 0920-24IT, 0920-24IT Respondent Data Collection ,   Respondent Informed Consent
[NCHS] CCQDER - NISVS 0920-0222, 0920-0222, 0920-0222 NISVS Screener ,   NISVS Questionnaire ,   {NISVS] Respondent Data Collection Sheet (No Form)
[NCHS] CCQDER's Caregiver n/a, n/a, n/a Caregiving Questions ,   Caregiving Screening Script ,   Respondent Data Collection Sheet
[NCHS] COLLABORATING CENTER FOR QUESTIONNAIRE DESIGN AND EVALUATION RESEARCH 0920-0222-23EQ, 0920- 0222-23EQ, 0920-0222-23EQ Attachment 5a-5b Respondent Data Collection Sheet 4.28.23 ,   Questions ,   Screening Script
[NCHS] Collaborating Center For Questionnaire Design and Evaluation Research 0920-0222-23EC RANDS 8 Questionnaire
[NCHS] Collaborating Center for Questionnaire Design and Evaluation Research - RANDS 11 n/a RANDS 11 Questionnaire-12.10.2024
[NCHS] Evaluation of Revised Questions on Cannabis Use and Experiences n/a, n/a, n/a Cannabis Questions to be Cognitively Tested ,   Cannabis Screening Script ,   Cannabis Data Collection Sheet
[NCHS] Point of Care Checklist Subproject 1: Conducting In-depth Interviews Among Those with Intellectual and Developmental Disabilities n/a, n/a, n/a Telephone Screening Script ,   Interviewer's Guide ,   Data Collection Sheets
[NCHS] RANDS 10 and Accompanying Cognitive Interviews (24CL) 0920-0222, 0920-022 (24CL), 0920-0222 (24CL) CCQDER RANDS 10 Questionnaire ,   Telephone Screening Script ,   Respondent Data Collection Sheet
[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions 0920-0222, 0920-0222, 0920-0222 Attachment 6 Respondent Data Collection Sheet ,   ADHD Attachment 1 Questions to be tested ,   Attachment 5 Informed Consent ADHD
[NCHS]CCQDER's NHANES Feeding Practices 0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI, 0920-24BI Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN ,   Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN ,   Attachment 4a - Screening script NHANES 11.16.23 CLEAN ,   Attachment 4b- Screening script NHANES 11.16.23 CLEAN ,   Attachment 5a & 5b - Informed Consent NHANES 11.16.23 ,   Attachment 3a- NHANES English Advertisement

  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 215,775 215,775 0 0 0 0
Annual Time Burden (Hours) 65,715 65,715 0 0 0 0
Annual Cost Burden (Dollars) 1,840,677 1,840,677 0 0 0 0
No
No
Revision for 0920-0222 requests an increase in burden hours for the next 3-year approval period due to an anticipated increase in the number of RANDS Methodological projects during the approval period.

$3,223,325
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Kevin Joyce 404 639-1944 kdj7@cdc.gov

  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.
05/01/2025


© 2025 OMB.report | Privacy Policy