[Federal Register Volume 80, Number 235 (Tuesday, December 8, 2015)]
[Notices]
[Pages 76291-76292]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-30854]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0214; Docket No. CDC-2015-0076]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies. Written comments and suggestions from the public
and affected agencies concerning the proposed collection of information
are encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs. To request additional
information on the proposed project or to obtain a copy of the
information collection plan and instruments, call (404) 639-7570 or
send an email to [email protected]. Direct written comments and/or
suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget,
Washington, DC 20503 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 Control No. 0920-0214,
expires 12/31/2017)--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 data 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 from 2016 to 2018. This voluntary and
confidential household-based survey collects demographic and health-
related information from a nationally representative sample of
noninstitutionalized, civilian persons and households throughout the
country. Personal identification information is requested from survey
respondents to facilitate linkage of survey data with health-related
administrative and other records. In 2016 the NHIS will collect
information from approximately 45,000 households, which contain about
112,000 individuals.
Information is collected using computer assisted personal
interviews (CAPI). A core set of data is collected each year that
remains largely unchanged, whereas sponsored supplements vary from year
to year. The core set includes socio-demographic characteristics,
health status, health care services, and health behaviors. For 2016,
supplemental questions will be cycled in pertaining to balance, blood
donation, chronic pain, diabetes, and vision. Supplemental topics that
continue or are enhanced from 2015 pertain to family food security,
heart disease and stroke, inflammatory bowel disease, hepatitis B and C
screening, children's mental health, disability and functioning,
smokeless tobacco and e-cigarettes, and immunizations. Questions from
2015 on cancer control, epilepsy, and occupational health have been
removed. In addition to these core and supplemental modules, a follow-
back survey will be conducted on previous NHIS respondents to collect
additional health related information using alternative question
wording and data collection modes as a testbed for the intended 2018
redesign of the NHIS questionnaire. In addition, a subsample of NHIS
respondents may be identified to participate in a pilot test to assess
the feasibility of integrating wearable devices into the NHIS data
collection process. The aim is to directly track health measurements,
to compare those measurements to the self-reported health information
provided by respondents, and to assess the role of devices in reducing
respondent burden.
A new sampling strategy is being implemented in 2016 and for the
foreseeable future. This new sampling design is necessitated by the
prior 2006-2015 sample being exhausted, and will take into account
demographic shifts in the U.S. civilian noninstitutionalized
population. It will also be more flexible allowing for additions and
contractions to reflect funding availability and to meet estimation
goals. As in previous years, the base sample will remain at
approximately 35,000 completed household interviews annually. To
balance the precision of national and state-based estimates, most of
the sample (approximately 25,000 completed interviews) will be
allocated proportionally to the state population to maximize the
precision of national-level estimates. A smaller portion of the sample
(approximately 10,000 completed interviews) will be shifted to increase
sample in the 10 least populous states, enabling state-level estimates
of key variables to be produced for all 50 states and DC by pooling 3
years of data. This flexibility embedded in the new sampling plan
reflects. Additional funding to improve state-level estimates will
increase the sample by almost 10,000 completed interviews in midsize
states bringing the total expected sample size in 2016 to 45,000
households.
Whereas the sampling frame for the NHIS has traditionally used
field listing by the Census Bureau, in order to contain costs, the new
frame will use a commercially available address list that covers
residential addresses within all 50 states and the District of
Columbia. Some field listing will be undertaken to improve coverage in
rural areas, in high density areas, and of university housing units.
This represents a substantial reduction in the number of listings
performed annually.
It is anticipated that this new sampling plan will not affect
estimates generated using NHIS data. To monitor the new design's
performance, NHIS analysts will perform monthly checks in line with the
ones currently performed as part of routine data review. NCHS receives
raw data files monthly from the Census Bureau for processing and
quality review. Each year, results from the January sample are compared
to the
[[Page 76292]]
previous year to determine whether the results consistent. In addition
to comparing the unweighted and weighted frequencies, the input and
output specifications are reviewed, and the flowcharts are compared to
the skip instructions and universes for each question. If a difference
is found, steps are taken to determine whether the change is legitimate
or whether there is a factor other than the programming of the
questionnaire such as the location or context of the question in the
questionnaire. If a difference persists, the paradata are reviewed to
determine whether there are changes in the mean or median time spent on
that question, whether interviewers had a high rate of backing up to
return to that question, and whether other questions in that battery
were similarly affected. Persistent differences will be examined to
determine whether there is any other interviewer effect such as results
comparing newly hired and experienced interviewers and newly added
primary sampling units compared to continuing primary sampling units.
In addition, national estimates on the key set of indicators that are
released in a quarterly report as part of the Early Release program
will be monitored by NHIS analysts.
In accordance with the 1995 initiative to increase the integration
of surveys within the DHHS, 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, academic, and private researchers to evaluate both
general health and specific issues, such as smoking, diabetes, health
care coverage, 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 2020.''
Burden hours have seen a net increase of 1,367 hours compared to
2015 due to the removal of the screener questionnaire and the addition
of the questionnaire redesign activities. There is no cost to the
respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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Adult Family Member................... Family Questionnaire.... 45,000 1 23/60
Sample Adult.......................... Sample Adult 36,000 1 15/60
Questionnaire.
Adult Family Member................... Sample Child 14,000 1 10/60
Questionnaire.
Adult Family Member................... Supplements............. 45,000 1 20/60
Adult Family Member................... Special Projects........ 15,000 1 20/60
Adult Family Member................... Reinterview Questions... 5,000 1 5/60
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Total............................. ........................ .............. .............. 49,000
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Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-30854 Filed 12-7-15; 8:45 am]
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