View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0969
ICR Reference No:
201303-0920-005
Status:
Historical Active
Previous ICR Reference No:
201208-0920-008
Agency/Subagency:
HHS/CDC
Agency Tracking No:
18979
Title:
Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/22/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/11/2013
Terms of Clearance:
Approved consistent the reminder that phase 1 of the project was not within the approved scope of Epi-Aids and a more appropriate clearance mechanism needs to be found for any future collection similar to phase 1.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2014
12 Months From Approved
Responses
10,000
0
0
Time Burden (Hours)
4,166
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
CDC plans to conduct surveys to monitor changes in provider and clinic attitudes and practices over time,partiularly in relationship to the dissemination of recent and future guidelines. Respondents will be health care providers in the private and public sectors, as well as administrators in Title X and Non-Title X clinics. Request is to support phase II data collection.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: PHSA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 21101
04/09/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 50695
08/22/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Survey of Office-based Physicians in Private Sector
none, none
Survey of Health Care Providers
,
Provider Survey Screenshots
Survey of Title X Clinic Administrators
none, none
Survey of Administrators of Publicly-funded Health Centers that Provide Family Planning Services
,
Administrator Survey Screenshots
Survey of Title X Clinic Providers
none, none
Survey of Health Care Providers
,
Provider Survey Screenshots
Survey of non-Title X Clinic Administrators
none, none
Survey of Adminstrators of Publicly-Funded Health Centers that Provide Family Planning Services
,
Administrator Survey Screenshots
Survey of non-Title X Clinic Providers
none, none
Survey of Health Care Providers
,
Provider Survery Screenshots
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
10,000
0
0
10,000
0
0
Annual Time Burden (Hours)
4,166
0
0
4,166
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a resubmission of a new ICR. OMB waived republication of the 30 day FRN. Request is for one year of approval to complete phase II.
Annual Cost to Federal Government:
$1,286,788
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Tony Richardson 404 639-4965 lmr7@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
03/11/2013
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