Agency Forms Undergoing Paperwork Reduction Act Review

Table of Figures

The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995. To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395-5806. Written comments should be received within 30 days of this notice.

Proposed Project

National Health Interview Survey (NHIS), (OMB No. 0920-0214 exp. 12/31/09)—Revision—National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services (DHHS), acting through NCHS, shall collect statistics on the extent and nature of illness and disability of the population of the United States.

The annual National Health Interview Survey is a major source of general statistics on the health of the U.S. population and has been in the field continuously since 1957. Clearance is sought for three years, to collect data for 2010, 2011, and 2012. This voluntary household-based survey collects demographic and health-related information on a nationally representative sample of persons and households throughout the country. Information is collected using computer assisted personal interviews (CAPI). A core set of data is collected each year while sponsored supplements vary from year to year. For 2010, we are revising the supplements to collect information on cancer, immunization, disability, occupational injury, epilepsy, and child mental health.

In accordance with the 1995 initiative to increase the integration of surveys within the Department of Health and Human Services, respondents to the NHIS serve as the sampling frame for the Medical Expenditure Panel Survey conducted by the Agency for Healthcare Research and Quality. The NHIS has long been used by government, university, and private researchers to evaluate both general health and specific issues, such as cancer, diabetes, and access to health care. It is a leading source of data for the Congressionally-mandated “Health US” and related publications, as well as the single most important source of statistics to track progress toward the National Health Promotion and Disease Prevention Objectives, “Healthy People 2010.”

There is no cost to the respondents other than their time. The total estimated annualized burden hours are 34,977.

Annualized Burden Table
Questionnaire(respondent) Number ofrespondents Number ofresponses per respondent Averageburden per respondent in hours
Screener Questionnaire 10,000 1 5/60
Family Core (adult family member) 33,000 1 23/60
Adult Core (sample adult) 25,000 1 17/60
Child Core (adult family member) 10,000 1 9/60
Child and Adult Immunization (adult family member) 9,400 1 4/60
Family Disability (adult family member) 16,500 1 3/60
Adult Cancer (sample adult) 25,000 1 19/60
Child Cancer (adult family member) 10,000 1 1/60
Adult Occupational Injury (sample adult) 25,000 1 2/60
Adult Epilepsy (sample adult) 25,000 1 1/60
Adult Quality of Life (sample adult) 12,500 1 5/60
Child Record Check (medical provider) 1,200 1 5/60
Teen Record Check (medical provider) 4,800 1 5/60
Child Mental Health (adult family member) 10,000 1 2/60
Reinterview Survey 3,000 1 5/60
Dated: October 8, 2009. Maryam I. Daneshvar,

Acting Reports Clearance Officer, Office of the Chief Science Officer, Centers for Disease Control and Prevention.

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