81 FR 69827 - 2018 National Health Interview Survey Questionnaire Redesign
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 81, Issue 195 (October 7, 2016)
Centers for Disease Control and Prevention
Federal Register Volume 81, Issue 195 (October 7, 2016)
| Page Range | 69827-69828 | |
| FR Document | 2016-24348 |
[Federal Register Volume 81, Number 195 (Friday, October 7, 2016)] [Notices] [Pages 69827-69828] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-24348] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC-2016-0092] 2018 National Health Interview Survey Questionnaire Redesign AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. ----------------------------------------------------------------------- SUMMARY: The National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain public comment on the redesign of the National Health Interview Survey (NHIS) questionnaire (OMB Control No. 0920-0214, expires 01/31/2019) Any proposed changes will be submitted in future notices in compliance with the Paperwork Reduction Act (PRA). The content and structure of the NHIS will be updated in 2018 to improve the measurement of covered health topics, reduce respondent burden by shortening the length of the questionnaire, harmonize overlapping content with other federal health surveys, establish a long-term structure of ongoing and periodic topics, and incorporate advances in survey methodology and measurement. DATES: Written comments must be received on or before November 7, 2016. ADDRESSES: You may submit comments, identified by Docket No. CDC-2016- 0092 by any of the following methods:Federal eRulemaking Portal: http://www.regulations.gov. Follow the instructions for submitting comments. Mail: Verita C. Buie, Office of Planning, Budget, and Legislation, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, MS-08, Hyattsville, MD 20782. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to http://regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to http://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Marcie Cynamon, Director, of the Division of Health Interview Statistics, National Center for Health Statistics, 3311 Toledo Road, MS-P08, Hyattsville, MD 20782-2064, phone: (301) 458-4174. SUPPLEMENTARY INFORMATION: The National Center for Health Statistics (NCHS) is redesigning the National Health Interview Survey (NHIS) to be fielded in 2018. The NHIS is the principal source of information on the health of the civilian noninstitutionalized population of the United States. Established by the National Health Survey Act of 1956, the survey has been in the field continuously since July 1957. NHIS data are used widely throughout the Department of Health and Human Services (HHS) to monitor trends in illness and disability and to track progress toward achieving national health objectives. The data are used by HHS and the public health research community in determining barriers to accessing and using health care services, and in tracking those health conditions and behaviors related to the leading causes of morbidity and mortality. The redesigned NHIS questionnaire and survey structure will be introduced in January 2018. The redesign process presents an opportunity to (1) ensure the survey is capturing the current health and health care needs of individuals in the United States and producing data of the highest-possible quality; and (2) reduce respondent burden by shortening the overall questionnaire length and harmonizing its content with other federal health surveys. The redesign is strategically timed to coordinate with the data cycle used to monitor Healthy People 2020 objectives, providing a clean transition into the next decade of monitoring the nation's critical public health indicators. The redesigned questionnaire reflects advances in survey methodology and measurement since the last NHIS redesign in 1997. This proposal incorporates a long-term structure for the content of the survey. There will be content that remains on the survey each year and content that will be collected on a rotating basis (collected for one or two years, off for one year). The periodicity of rotating content will be established several years in advance. Approximately 15 to 20 minutes of interview time each year will be reserved for sponsored content that addresses the data needs of other federal agencies and partners. The proposed structure of the redesigned NHIS will differ from the current structure. Since 1997, the NHIS has consisted of a family questionnaire, a sample adult questionnaire, and a sample child questionnaire. The new structure will include a sample adult questionnaire and a sample child questionnaire only; however, in the redesigned NHIS, much of the content from the family section will be collected within the sample adult and sample child interviews. To complete these questionnaires, one adult aged 18 years and over and one child aged 17 years and under (if applicable) will be randomly selected from each sampled household. Information about the sample adult will be collected from the sample adult himself/herself unless s/he is physically or mentally unable to do so, in which case a knowledgeable proxy will be allowed to answer for the sample adult. Information about the sample child will be collected from a knowledgeable adult who may or may not also be the sample adult. Content from the family questionnaire that will still be obtained from respondents in the redesigned NHIS [[Page 69828]] includes questions at the beginning of the interview that will capture the age, sex, active duty military status, race, and ethnicity of everyone who usually lives or stays in the household. Some content from the family questionnaire (e.g., family income, financial burden of medical care, housing tenure) will be moved into the two remaining questionnaires. Public comment on the first draft of these questionnaires will be critical as we continue to revise and improve the content and question text during the redesign process. The first draft of the questionnaires may be found in the docket under Supporting and Related Materials. Dated: October 4, 2016. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2016-24348 Filed 10-6-16; 8:45 am] BILLING CODE 4163-18-P
![Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices 69827
period, which is tentatively scheduled of a docket to obtain public comment on accessing and using health care services,
from 3:45 p.m. to 3:55 p.m. This the redesign of the National Health and in tracking those health conditions
meeting is also available by Interview Survey (NHIS) questionnaire and behaviors related to the leading
teleconference. Please dial (888) 324– (OMB Control No. 0920–0214, expires causes of morbidity and mortality.
9970 and enter code 32077657. 01/31/2019) Any proposed changes will The redesigned NHIS questionnaire
Purpose: The Subcommittee will be submitted in future notices in and survey structure will be introduced
contribute to the ACD’s advice to the compliance with the Paperwork in January 2018. The redesign process
CDC Director on strategic and other Reduction Act (PRA). The content and presents an opportunity to (1) ensure
health disparities and health equity structure of the NHIS will be updated in the survey is capturing the current
issues and provide guidance on 2018 to improve the measurement of health and health care needs of
opportunities for CDC. covered health topics, reduce individuals in the United States and
Matters for Discussion: The Health respondent burden by shortening the producing data of the highest-possible
Disparities Subcommittee will receive length of the questionnaire, harmonize quality; and (2) reduce respondent
update from STLT Social Determinants overlapping content with other federal burden by shortening the overall
of Health (SDOH) Think Tank health surveys, establish a long-term questionnaire length and harmonizing
Collaboration, Funding Opportunity structure of ongoing and periodic topics, its content with other federal health
Announcement (FOA) Health Equity and incorporate advances in survey surveys. The redesign is strategically
Guidance Update and Discussion, HDS methodology and measurement. timed to coordinate with the data cycle
priorities, Internal Nomination Process DATES: Written comments must be used to monitor Healthy People 2020
and Update, Health Equity Indicators as received on or before November 7, 2016. objectives, providing a clean transition
well as an update from CDC’s Principal ADDRESSES: You may submit comments, into the next decade of monitoring the
Deputy Director. identified by Docket No. CDC–2016– nation’s critical public health
The agenda is subject to change as 0092 by any of the following methods: indicators. The redesigned
priorities dictate. • Federal eRulemaking Portal: http:// questionnaire reflects advances in
Contact Person for More Information: www.regulations.gov. Follow the survey methodology and measurement
Leandris Liburd, Ph.D., M.P.H., M.A., instructions for submitting comments. since the last NHIS redesign in 1997.
Designated Federal Officer, Health • Mail: Verita C. Buie, Office of This proposal incorporates a long-term
Disparities Subcommittee, Advisory Planning, Budget, and Legislation, structure for the content of the survey.
Committee to the Director, CDC, 1600 National Center for Health Statistics, There will be content that remains on
Clifton Road NE., M/S K–77, Atlanta, Centers for Disease Control and the survey each year and content that
Georgia 30329 Telephone (770) 488– Prevention, 3311 Toledo Road, MS–08, will be collected on a rotating basis
8343, Email: xdy8@cdc.gov. The Hyattsville, MD 20782. (collected for one or two years, off for
Director, Management Analysis and Instructions: All submissions received one year). The periodicity of rotating
Services Office, has been delegated the must include the agency name and content will be established several years
authority to sign Federal Register Docket Number. All relevant comments in advance. Approximately 15 to 20
notices pertaining to announcements of received will be posted without change minutes of interview time each year will
meetings and other committee to http://regulations.gov, including any be reserved for sponsored content that
management activities for both the personal information provided. For addresses the data needs of other federal
Centers for Disease Control and access to the docket to read background agencies and partners.
Prevention and the Agency for Toxic documents or comments received, go to The proposed structure of the
Substances and Disease Registry. http://www.regulations.gov. redesigned NHIS will differ from the
FOR FURTHER INFORMATION CONTACT:
current structure. Since 1997, the NHIS
Elaine L. Baker, has consisted of a family questionnaire,
Director, Management Analysis and Services Marcie Cynamon, Director, of the
a sample adult questionnaire, and a
Office, Centers for Disease Control and Division of Health Interview Statistics,
sample child questionnaire. The new
Prevention. National Center for Health Statistics,
structure will include a sample adult
[FR Doc. 2016–24365 Filed 10–6–16; 8:45 am] 3311 Toledo Road, MS–P08, Hyattsville,
questionnaire and a sample child
BILLING CODE 4160–18–P MD 20782–2064, phone: (301) 458–
questionnaire only; however, in the
4174.
redesigned NHIS, much of the content
SUPPLEMENTARY INFORMATION: The from the family section will be collected
DEPARTMENT OF HEALTH AND National Center for Health Statistics within the sample adult and sample
HUMAN SERVICES (NCHS) is redesigning the National child interviews. To complete these
Health Interview Survey (NHIS) to be questionnaires, one adult aged 18 years
Centers for Disease Control and
fielded in 2018. The NHIS is the and over and one child aged 17 years
Prevention
principal source of information on the and under (if applicable) will be
[Docket No. CDC–2016–0092] health of the civilian randomly selected from each sampled
noninstitutionalized population of the household. Information about the
2018 National Health Interview Survey United States. Established by the sample adult will be collected from the
Questionnaire Redesign National Health Survey Act of 1956, the sample adult himself/herself unless s/he
AGENCY: Centers for Disease Control and survey has been in the field is physically or mentally unable to do
Prevention (CDC), Department of Health continuously since July 1957. NHIS data so, in which case a knowledgeable
are used widely throughout the proxy will be allowed to answer for the
mstockstill on DSK3G9T082PROD with NOTICES
and Human Services (HHS).
ACTION: Notice with comment period. Department of Health and Human sample adult. Information about the
Services (HHS) to monitor trends in sample child will be collected from a
SUMMARY: The National Center for illness and disability and to track knowledgeable adult who may or may
Health Statistics (NCHS), Centers for progress toward achieving national not also be the sample adult.
Disease Control and Prevention (CDC), health objectives. The data are used by Content from the family questionnaire
in the Department of Health and Human HHS and the public health research that will still be obtained from
Services (HHS) announces the opening community in determining barriers to respondents in the redesigned NHIS
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![69828 Federal Register / Vol. 81, No. 195 / Friday, October 7, 2016 / Notices
includes questions at the beginning of technology to minimize the information entitled, ‘‘Ensuring That Consumers Get
the interview that will capture the age, collection burden. Value for Their Dollars.’’ Specifically,
sex, active duty military status, race, DATES: Comments on the collection(s) of section 2794(a) requires the Secretary of
and ethnicity of everyone who usually information must be received by the the Department of Health and Human
lives or stays in the household. Some OMB desk officer by November 7, 2016. Services (the Secretary) (HHS), in
content from the family questionnaire ADDRESSES: When commenting on the conjunction with the States, to establish
(e.g., family income, financial burden of proposed information collections, a process for the annual review of health
medical care, housing tenure) will be please reference the document identifier insurance premiums to protect
moved into the two remaining or OMB control number. To be assured consumers from unreasonable rate
questionnaires. consideration, comments and increases. Section 2794(c) directs the
Public comment on the first draft of recommendations must be received by Secretary to carry out a program to
these questionnaires will be critical as the OMB desk officer via one of the award grants to States. Section
we continue to revise and improve the following transmissions: OMB, Office of 2794(c)(2)(B) specifies that any
content and question text during the Information and Regulatory Affairs, appropriated Rate Review Grant funds
redesign process. The first draft of the Attention: CMS Desk Officer, Fax that are not fully obligated by the end
questionnaires may be found in the Number: (202) 395–5806, OR Email: of FY 2014 shall remain available to the
docket under Supporting and Related OIRA_submission@omb.eop.gov. Secretary for grants to States for
Materials. To obtain copies of a supporting planning and implementing the
Dated: October 4, 2016. statement and any related forms for the insurance market reforms and consumer
Sandra Cashman, proposed collection(s) summarized in protections under Part A of title XXVII
Executive Secretary, Centers for Disease this notice, you may make your request of the Public Health Service Act (PHS
Control and Prevention. using one of the following: Act). States that apply for funds are
[FR Doc. 2016–24348 Filed 10–6–16; 8:45 am] 1. Access CMS’ Web site address at required to complete the grant
BILLING CODE 4163–18–P http://www.cms.hhs.gov/ application. States that are awarded
PaperworkReductionActof1995. funds under this funding opportunity
2. Email your request, including your are required to provide the CMS with
DEPARTMENT OF HEALTH AND address, phone number, OMB number, four quarterly reports, and one annual
HUMAN SERVICES and CMS document identifier, to report per year (except for the last year
Paperwork@cms.hhs.gov. of the grant) until the end of the grant
Centers for Medicare & Medicaid 3. Call the Reports Clearance Office at period detailing the state’s progression
Services (410) 786–1326. towards planning and/or implementing
[Document Identifiers: CMS–10605, CMS– FOR FURTHER INFORMATION CONTACT: the market reforms under Part A of Title
R–5, CMS–10311, and CMS–10242] Reports Clearance Office at (410) 786– XXVII of the PHS Act. A final report is
1326. due at the end of the grant period. Form
Agency Information Collection SUPPLEMENTARY INFORMATION: Under the Number: CMS–10605 (OMB control
Activities: Submission for OMB Paperwork Reduction Act of 1995 (PRA) number: 0938—NEW); Frequency:
Review; Comment Request (44 U.S.C. 3501–3520), federal agencies Annually and Quarterly; Affected
must obtain approval from the Office of Public: State, Local or Tribal
AGENCY: Centers for Medicare &
Management and Budget (OMB) for each Governments; Number of Respondents:
Medicaid Services, HHS.
collection of information they conduct 23; Total Annual Responses: 115; Total
ACTION: Notice.
or sponsor. The term ‘‘collection of Annual Hours: 2,898. (For policy
SUMMARY: The Centers for Medicare & information’’ is defined in 44 U.S.C. questions regarding this collection
Medicaid Services (CMS) is announcing 3502(3) and 5 CFR 1320.3(c) and contact Jim Taing at 301–492–4182.)
an opportunity for the public to includes agency requests or 2. Type of Information Collection
comment on CMS’ intention to collect requirements that members of the public Request: Extension of a currently
information from the public. Under the submit reports, keep records, or provide approved collection; Title of
Paperwork Reduction Act of 1995 information to a third party. Section Information Collection: Physician
(PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C. Certification/Recertification in Skilled
publish notice in the Federal Register 3506(c)(2)(A)) requires federal agencies Nursing Facilities (SNFs) Manual
concerning each proposed collection of to publish a 30-day notice in the Instructions; Use: Section 1814(a) of the
information, including each proposed Federal Register concerning each Social Security Act (the Act) requires
extension or reinstatement of an existing proposed collection of information, specific certifications in order for
collection of information, and to allow including each proposed extension or Medicare payments to be made for
a second opportunity for public reinstatement of an existing collection certain services. Before the enactment of
comment on the notice. Interested of information, before submitting the the Omnibus Budget Reconciliation Act
persons are invited to send comments collection to OMB for approval. To of 1989 (OBRA1989, Public Law 101–
regarding the burden estimate or any comply with this requirement, CMS is 239), section 1814(a)(2) of the Act
other aspect of this collection of publishing this notice that summarizes required that, in the case of post
information, including any of the the following proposed collection(s) of hospital extended care services, a
following subjects: (1) The necessity and information for public comment: physician certify that the services are or
utility of the proposed information 1. Type of Information Collection were required to be given because the
mstockstill on DSK3G9T082PROD with NOTICES
collection for the proper performance of Request: New collection (Request for a individual needs or needed, on a daily
the agency’s functions; (2) the accuracy new OMB control number); Title of basis, skilled nursing care (provided
of the estimated burden; (3) ways to Information Collection: The Health directly by or requiring the supervision
enhance the quality, utility, and clarity Insurance Enforcement and Consumer of skilled nursing personnel) or other
of the information to be collected; and Protections Grant Program; Use: Section skilled rehabilitation services that, as a
(4) the use of automated collection 1003 of the Affordable Care Act (ACA) practical matter, can only be provided
techniques or other forms of information adds a new section 2794 to the PHS Act in a SNF on an inpatient basis. The
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Document Created: 2018-02-13 16:31:30
Document Modified: 2018-02-13 16:31:30
| 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 | |
| Action | Notice with comment period. | |
| Dates | Written comments must be received on or before November 7, 2016. | |
| Contact | Marcie Cynamon, Director, of the Division of Health Interview Statistics, National Center for Health Statistics, 3311 Toledo Road, MS-P08, Hyattsville, MD 20782-2064, phone: (301) 458-4174. | |
| FR Citation | 81 FR 69827 |
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