View Information Collection Request (ICR) Package
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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:
0920-1004
ICR Reference No:
201210-0920-003
Status:
Historical Inactive
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies
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:
Improperly submitted
Conclusion Date:
10/10/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/10/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
24 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
CDC plans to conduct a quasi-experimental pretest, posttest design study with an intervention group and a comparison group to study the impact of smoke-free housing policies in multi-unit residential housing facilities. The study will include surveys of MUH operators and residents, objective measures of air quality and tobacco exposure, and focus groups with residents.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 VIII
Name of Law: ARRA
PL:
Pub.L. 111 - 148 4002
Name of Law: Patient Protection and ACA, Prevention and Public Health Fund
US Code:
42 USC 301
Name of Law: Public Health Service Act
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 17065
03/23/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 61407
10/09/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
15
IC Title
Form No.
Form Name
Focus Group - Outcome-oriented - ME, MN, FL
none
Outcome-oriented Focus Group
Focus Group - Process Oriented - ME, MN, FL
none
Process-oriented Focus Group
MUH Operator Baseline Survey
none
MUH Operator Baseline Survey
MUH Operator Post-intervention Survey
none
Post-intervention Survey
MUH Resdient Post-Intervention Survey - Core - LA County
none
Resident Post-Intervention Survey
MUH Resident Baseline Survey - Children's Module - LA County
none, none
Resident Survey - Children's Module - LA County -English
,
Resident Survey - Children's Module -LA County - Spanish
MUH Resident Baseline Survey - screening LA county
none, none
Resident Baseline Survey - screener - English
,
Resident Baseline Survey - screener Spanish
MUH Resident Focus Group Screening - ME, MN, FL
none
Focus Group Screening
MUH Resident Post-intervention Survey - Children's Module - LA County
none
Resident Post-intervention - Children's Module - English
Recruitment of MUH Operators in LA County
none
Recruitment Script for MUH Operators in LA County
Recruitment of MUH Operators in MN, ME, FL
none
Recruitment Script for MUH Operators
Resident Air Quality Monitoring
none, none
Air Quality Monitoring Protocol
,
Air Quality Monitoring Protocol - Spanish
Resident Baseline Survey -Core - LA County
none, none
Resident Baseline Survey - LA County - English
,
Resident Baseline Survey - LA County - Spanish
Resident Pre-Focus Group Survey - ME, MN, FL
none
Pre-Focus Group Survey
Resident Saliva Collection
none
Saliva Collection
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 new ICR.
Annual Cost to Federal Government:
$2,028,456
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?
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
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)?
Yes
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Shari Steinberg 404 639-4942 sxw2@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:
10/10/2012
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