80 FR 76291 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 235 (December 8, 2015)

Page Range		76291-76292
FR Document		2015-30854

Federal Register, Volume 80 Issue 235 (Tuesday, December 8, 2015)

[Federal Register Volume 80, Number 235 (Tuesday, December 8, 2015)]
[Notices]
[Pages 76291-76292]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-30854]

=======================================================================
-----------------------------------------------------------------------

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 omb@cdc.gov. 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
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
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
-----------------------------------------------
Total............................. ........................ .............. .............. 49,000
----------------------------------------------------------------------------------------------------------------

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]
BILLING CODE 4163-18-P

Federal Register / Vol. 80, No. 235 / Tuesday, December 8, 2015 / Notices 76291

By direction of the Commission. Proposed Project questionnaire. In addition, a subsample
Donald S. Clark, National Health Interview Survey of NHIS respondents may be identified
Secretary. (NHIS) (OMB Control No. 0920–0214, to participate in a pilot test to assess the
[FR Doc. 2015–30894 Filed 12–7–15; 8:45 am] expires 12/31/2017)—Revision— feasibility of integrating wearable
BILLING CODE 6750–01–P National Center for Health Statistics devices into the NHIS data collection
(NCHS), Centers for Disease Control and process. The aim is to directly track
Prevention (CDC). health measurements, to compare those
measurements to the self-reported
DEPARTMENT OF HEALTH AND
health information provided by
HUMAN SERVICES Background and Brief Description respondents, and to assess the role of
Centers for Disease Control and Section 306 of the Public Health devices in reducing respondent burden.
Prevention Service (PHS) Act (42 U.S.C. 242k), as A new sampling strategy is being
amended, authorizes that the Secretary implemented in 2016 and for the
[30Day–15–0214; Docket No. CDC–2015–
of Health and Human Services (DHHS), foreseeable future. This new sampling
0076] design is necessitated by the prior 2006–
acting through NCHS, shall collect data
on the extent and nature of illness and 2015 sample being exhausted, and will
Agency Forms Undergoing Paperwork take into account demographic shifts in
Reduction Act Review disability of the population of the
the U.S. civilian noninstitutionalized
United States. The annual National
population. It will also be more flexible
The Centers for Disease Control and Health Interview Survey is a major
allowing for additions and contractions
Prevention (CDC) has submitted the source of general statistics on the health
to reflect funding availability and to
following information collection request of the U.S. population and has been in
meet estimation goals. As in previous
to the Office of Management and Budget the field continuously since 1957.
years, the base sample will remain at
(OMB) for review and approval in Clearance is sought for three years, to
approximately 35,000 completed
accordance with the Paperwork collect data from 2016 to 2018. This
household interviews annually. To
Reduction Act of 1995. The notice for voluntary and confidential household-
balance the precision of national and
the proposed information collection is based survey collects demographic and state-based estimates, most of the
published to obtain comments from the health-related information from a sample (approximately 25,000
public and affected agencies. Written nationally representative sample of completed interviews) will be allocated
comments and suggestions from the noninstitutionalized, civilian persons proportionally to the state population to
public and affected agencies concerning and households throughout the country. maximize the precision of national-level
the proposed collection of information Personal identification information is estimates. A smaller portion of the
are encouraged. Your comments should requested from survey respondents to sample (approximately 10,000
address any of the following: (a) facilitate linkage of survey data with completed interviews) will be shifted to
Evaluate whether the proposed health-related administrative and other increase sample in the 10 least populous
collection of information is necessary records. In 2016 the NHIS will collect states, enabling state-level estimates of
for the proper performance of the information from approximately 45,000 key variables to be produced for all 50
functions of the agency, including households, which contain about states and DC by pooling 3 years of data.
whether the information will have 112,000 individuals. This flexibility embedded in the new
practical utility; (b) Evaluate the Information is collected using sampling plan reflects. Additional
accuracy of the agencies estimate of the computer assisted personal interviews funding to improve state-level estimates
burden of the proposed collection of (CAPI). A core set of data is collected will increase the sample by almost
information, including the validity of each year that remains largely 10,000 completed interviews in midsize
the methodology and assumptions used; unchanged, whereas sponsored states bringing the total expected sample
(c) Enhance the quality, utility, and supplements vary from year to year. The size in 2016 to 45,000 households.
clarity of the information to be core set includes socio-demographic Whereas the sampling frame for the
collected; (d) Minimize the burden of characteristics, health status, health care NHIS has traditionally used field listing
the collection of information on those services, and health behaviors. For by the Census Bureau, in order to
who are to respond, including through 2016, supplemental questions will be contain costs, the new frame will use a
the use of appropriate automated, cycled in pertaining to balance, blood commercially available address list that
electronic, mechanical, or other donation, chronic pain, diabetes, and covers residential addresses within all
technological collection techniques or vision. Supplemental topics that 50 states and the District of Columbia.
other forms of information technology, continue or are enhanced from 2015 Some field listing will be undertaken to
e.g., permitting electronic submission of pertain to family food security, heart improve coverage in rural areas, in high
responses; and (e) Assess information disease and stroke, inflammatory bowel density areas, and of university housing
collection costs. To request additional disease, hepatitis B and C screening, units. This represents a substantial
information on the proposed project or children’s mental health, disability and reduction in the number of listings
to obtain a copy of the information functioning, smokeless tobacco and e- performed annually.
collection plan and instruments, call cigarettes, and immunizations. It is anticipated that this new
(404) 639–7570 or send an email to Questions from 2015 on cancer control, sampling plan will not affect estimates
omb@cdc.gov. Direct written comments epilepsy, and occupational health have generated using NHIS data. To monitor
and/or suggestions regarding the items been removed. In addition to these core the new design’s performance, NHIS
Lhorne on DSK9F6TC42PROD with NOTICES

contained in this notice to the and supplemental modules, a follow- analysts will perform monthly checks in
Attention: CDC Desk Officer, Office of back survey will be conducted on line with the ones currently performed
Management and Budget, Washington, previous NHIS respondents to collect as part of routine data review. NCHS
DC 20503 or by fax to (202) 395-5806. additional health related information receives raw data files monthly from the
Written comments should be received using alternative question wording and Census Bureau for processing and
within 30 days of this notice. data collection modes as a testbed for quality review. Each year, results from
the intended 2018 redesign of the NHIS the January sample are compared to the

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76292 Federal Register / Vol. 80, No. 235 / Tuesday, December 8, 2015 / Notices

previous year to determine whether the battery were similarly affected. long been used by government,
results consistent. In addition to Persistent differences will be examined academic, and private researchers to
comparing the unweighted and to determine whether there is any other evaluate both general health and
weighted frequencies, the input and interviewer effect such as results specific issues, such as smoking,
output specifications are reviewed, and comparing newly hired and experienced diabetes, health care coverage, and
the flowcharts are compared to the skip interviewers and newly added primary access to health care. It is a leading
instructions and universes for each sampling units compared to continuing source of data for the Congressionally-
question. If a difference is found, steps primary sampling units. In addition, mandated ‘‘Health US’’ and related
are taken to determine whether the national estimates on the key set of publications, as well as the single most
change is legitimate or whether there is indicators that are released in a important source of statistics to track
a factor other than the programming of quarterly report as part of the Early progress toward the National Health
the questionnaire such as the location or Release program will be monitored by Promotion and Disease Prevention
context of the question in the NHIS analysts. Objectives, ‘‘Healthy People 2020.’’
questionnaire. If a difference persists, In accordance with the 1995 initiative Burden hours have seen a net increase
the paradata are reviewed to determine to increase the integration of surveys of 1,367 hours compared to 2015 due to
whether there are changes in the mean within the DHHS, respondents to the the removal of the screener
or median time spent on that question, NHIS serve as the sampling frame for questionnaire and the addition of the
whether interviewers had a high rate of the Medical Expenditure Panel Survey questionnaire redesign activities. There
backing up to return to that question, conducted by the Agency for Healthcare is no cost to the respondents other than
and whether other questions in that Research and Quality. The NHIS has their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of Average
Number of responses burden per
Type of respondents Form name respondents per response
respondent (in hours)

Adult Family Member ...................................... Family Questionnaire ..................................... 45,000 1 23/60
Sample Adult ................................................... Sample Adult Questionnaire .......................... 36,000 1 15/60
Adult Family Member ...................................... Sample Child Questionnaire .......................... 14,000 1 10/60
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

Total ......................................................... ......................................................................... ........................ ........................ 49,000

Leroy A. Richardson, extension or reinstatement of an existing Attention: CMS Desk Officer, Fax
Chief, Information Collection Review Office, collection of information, and to allow Number: (202) 395–5806 OR, Email:
Office of Scientific Integrity, Office of the a second opportunity for public OIRA_submission@omb.eop.gov.
Associate Director for Science, Office of the comment on the notice. Interested To obtain copies of a supporting
Director, Centers for Disease Control and persons are invited to send comments statement and any related forms for the
Prevention.
regarding the burden estimate or any proposed collection(s) summarized in
[FR Doc. 2015–30854 Filed 12–7–15; 8:45 am]
other aspect of this collection of this notice, you may make your request
BILLING CODE 4163–18–P information, including any of the using one of following:
following subjects: (1) The necessity and 1. Access CMS’ Web site address at
utility of the proposed information http://www.cms.hhs.gov/
DEPARTMENT OF HEALTH AND
collection for the proper performance of PaperworkReductionActof1995.
HUMAN SERVICES
the agency’s functions; (2) the accuracy 2. Email your request, including your
Centers for Medicare & Medicaid of the estimated burden; (3) ways to address, phone number, OMB number,
Services enhance the quality, utility, and clarity and CMS document identifier, to
of the information to be collected; and Paperwork@cms.hhs.gov.
[Document Identifiers: CMS–10583] (4) the use of automated collection 3. Call the Reports Clearance Office at
techniques or other forms of information (410) 786–1326.
Agency Information Collection
technology to minimize the information FOR FURTHER INFORMATION CONTACT:
Activities: Submission for OMB
collection burden. Reports Clearance Office at (410) 786–
Review; Comment Request
DATES:Comments on the collection(s) of 1326.
ACTION: Notice. information must be received by the SUPPLEMENTARY INFORMATION: Under the
SUMMARY: The Centers for Medicare & OMB desk officer by January 7, 2016: Paperwork Reduction Act of 1995 (PRA)
Medicaid Services (CMS) is announcing ADDRESSES: When commenting on the (44 U.S.C. 3501–3520), federal agencies
an opportunity for the public to proposed information collections, must obtain approval from the Office of
Lhorne on DSK9F6TC42PROD with NOTICES

comment on CMS’ intention to collect please reference the document identifier Management and Budget (OMB) for each
information from the public. Under the or OMB control number. To be assured collection of information they conduct
Paperwork Reduction Act of 1995 consideration, comments and or sponsor. The term ‘‘collection of
(PRA), federal agencies are required to recommendations must be received by information’’ is defined in 44 U.S.C.
publish notice in the Federal Register the OMB desk officer via one of the 3502(3) and 5 CFR 1320.3(c) and
concerning each proposed collection of following transmissions: OMB, Office of includes agency requests or
information, including each proposed Information and Regulatory Affairs, requirements that members of the public

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Document Created: 2015-12-14 13:27:20
Document Modified: 2015-12-14 13:27:20

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
FR Citation		80 FR 76291

80 FR 76291 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 80, Issue 235 (December 8, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention