[Federal Register Volume 88, Number 218 (Tuesday, November 14, 2023)]
[Notices]
[Pages 78041-78043]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-25084]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-24-0214]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled ``National Health Interview Survey (NHIS)'' 
to the Office of Management and Budget (OMB) for review and approval. 
CDC previously published a ``Proposed Data Collection Submitted for 
Public Comment and Recommendations'' notice on August 21, 2023 to 
obtain comments from the public and affected agencies. CDC receive 
three comments related to the previous notice. This notice serves to 
allow an additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (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;

[[Page 78042]]

    (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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct 
written comments and/or suggestions regarding the items contained in 
this notice to the Attention: CDC Desk Officer, Office of Management 
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 
395-5806. Provide written comments within 30 days of notice 
publication.

Proposed Project

    National Health Interview Survey (NHIS) (OMB Control No. 0920-0214, 
Exp. 12/31/2023)--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.), as 
amended, authorizes that the Secretary of Health and Human Services 
(HHS), 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 (NHIS) is a major 
source of general statistics on the health of the U.S. population and 
has been in the field continuously since 1957. This voluntary and 
confidential household-based survey collects demographic and health-
related information from a nationally representative sample of 
households and noninstitutionalized, civilian persons throughout the 
country. NHIS data have 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. The survey is also 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 HHS health objectives.
    The NHIS sample adult and sample child questionnaires include 
annual core content that is scheduled to be fielded in the survey every 
year, rotating content that is fielded periodically, emerging content 
to address new topics of growing interest, and sponsored content that 
is fielded when external funding is available. Rotating sample adult 
and sample child core content on service utilization that was on the 
NHIS in 2023 will rotate off in 2024. Content on chronic pain and 
preventive services will also rotate off the sample adult core, and 
content on stressful life events will rotate off the sample child core. 
The 2024 sample adult rotating core will include items on health-
related behaviors including smoking history and cessation, alcohol use, 
fatigue, physical activity, walking, doctor's advice to exercise, and 
sleep--content previously fielded on the 2022 NHIS. It will also 
include content on allergies and other health conditions and 
psychological distress, content that was previously fielded in 2021. 
The 2024 sample child rotating core will include questions on allergies 
and other conditions and health-related behaviors including physical 
activity, neighborhood characteristics, sleep, screen time, and height 
and weight which were previously fielded in 2022. Sponsored content on 
vision and hearing will be removed from both the sample adult and 
sample child questionnaires. Sponsored content on arthritis will be 
removed from the sample adult questionnaire. Sponsored content on 
social support and stressful life events will be removed from the 
sample child questionnaire. Sponsored content on cancer control and 
immunizations will remain, but the specific questions will change. 
Sponsored cancer control content on breast, prostate, and colorectal 
cancer screening, family history of cancers, and genetic testing for 
cancer risk will be removed from the sample adult questionnaire. 
Sponsored cancer control content in the 2024 NHIS sample adult 
questionnaire will focus on cigarette smoking history, lung cancer 
screening, environment for walking, and sun safety, using similar 
questions that were used in the 2020 NHIS. Sponsored content for the 
2024 NHIS sample adult and sample child questionnaire will also include 
questions about taste and smell that are similar to content included in 
the 2021 NHIS. Sponsored content on social support and loneliness will 
also be added to the 2024 NHIS sample adult questionnaire. Emerging 
content on everyday discrimination, heightened vigilance, and mental 
health has been removed from the sample adult questionnaire. Emerging 
content on GLP-1 injectables has been added to the sample adult 
questionnaire.
    Like in past years, and in accordance with the 1995 initiative to 
increase the integration of surveys within the DHHS, respondents to the 
2021 NHIS will serve as the sampling frame for the Medical Expenditure 
Panel Survey conducted by the Agency for Healthcare Research and 
Quality. A subsample of NHIS respondents and/or members of commercial 
survey panels may be identified to participate in short, web-based 
methodological and cognitive testing activities to evaluate the 
questionnaire and/or inform the development of new rotating and 
sponsored content using web and/or mail survey tools. In addition, 
subsamples of NHIS respondents may be recontacted by web, phone, or 
mail to ask follow-up questions on topics that are already included in 
the NHIS. The NHIS-Teen is a follow-back survey of adolescents that was 
fielded from 2021 to 2023 and may be fielded again in 2025 and 2026 if 
funding is available. The NHIS also includes content that is used to 
benchmark estimates and calibrate survey weights from probability-based 
online commercial survey panels as part of the NCHS Rapid Surveys 
System.
    CDC requests OMB clearance for three years, to collect data through 
2026. The total estimated annualized burden is 39,192 hours. There is 
no cost to the respondents other than their time.

[[Page 78043]]



                                        Estimated Annualized Burden Hours
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                                                                                     Number of    Average burden
          Type of Respondents                   Form Name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
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Adult Household Member................  Household Roster........          36,000               1            4/60
Sample Adult..........................  Adult Questionnaire.....          33,000               1           50/60
Adult Family Member...................  Child Questionnaire.....          10,000               1           22/60
Adult Family Member...................  Methodological Projects.          15,000               1           20/60
Sample Child..........................  NHIS-Teen...............             667               1           15/60
Adult Family Member...................  Reinterview Survey......           5,500               1            5/60
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2023-25084 Filed 11-13-23; 8:45 am]
BILLING CODE 4163-18-P