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:
201309-0920-011
Status:
Historical Active
Previous ICR Reference No:
201210-0920-003
Agency/Subagency:
HHS/CDC
Agency Tracking No:
20360
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:
Approved with change
Conclusion Date:
12/27/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/30/2013
Terms of Clearance:
Approved consistent with CDC's primary goal for the quasi-experimental component - to detect changes in SHS exposure and occupants’ knowledge and behavior. The survey is not designed (or powered) to detect changes in respiratory health outcomes associated with SHS policies or changes in exposure. The health information collected will only be used as covariates in analyses alongside other demographic characteristics such as age, sex, and race.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2016
24 Months From Approved
Responses
4,664
0
0
Time Burden (Hours)
1,922
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
CDC plans to conduct a series of projects designed to explore the potential impacts of smoke-free policies in multi-unit residential housing facilities One project is a quasi-experimental pretest, posttest design study with an intervention group and a comparison group to explore changes in behavior and exposure among residents in Los Angeles. This quasi-experimental study is not des igned to detect changes in residents' health. Other study components include surveys of multi-unit housing (MUH) operators and residents, objective measures of air quality and tobacco exposure, and focus groups with residents in three states with different policies.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 8
Name of Law: ARRA
US Code:
42 USC 301
Name of Law: PHSA
PL:
Pub.L. 111 - 148 4002
Name of Law: ACA
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:
18
IC Title
Form No.
Form Name
MUH Operator Baseline Survey (LA County)
none
MUH Operator Baseline Survey
MUH Operator Baseline Survey - MN, ME, FL
none
MUH Operator Baseline Survey - MN, ME, FL
MUH Operator Post-intervention Survey - LA county
none
7A - MUH operator post-intervention survey - LA county
MUH Resident Air Quality Monitoring
MUH Resident Baseline Survey - Children's Module LA
none, none
MUH Resident Baseline - Children's Module section G
,
MUH Resident Baseline - Children's Module section G Spanish
MUH Resident Baseline Survey - Core LA
none, none
MUH Resident Baseline - Core - sections A-F
,
MUH Resident Baseline - Core - sections A-F Spanish
MUH Resident Baseline Survey - screening LA
none, none
MUH Resident Survey - LA (English)
,
MUH Resident Survey - LA (Spanish)
MUH Resident Post-intervention Children's Module - LA
none, none
Resident Survey Post-int- children's module section G
,
Resident Survey Post-int - children's module section G Spanish
MUH Resident Post-intervention Survey - Core LA
none, none
Resident Surevy Post-intervention Spanish
,
Resident Survey - Post-intervention
MUH Resident Saliva Collection
none
Saliva Collection
MUH Saliva Collection - children
MUH operators post-intervention survey - MN, ME, FL
none
MUH Operator Post Intervention Survey - LA, ME, MN, FL
Phone script for Recruitment of MUH operators in LA
none
Recruitment Script LA
Phone script for recruitment of MUH operators - MN, ME, FL
none
Recruitment phone script MN, ME, FL
Resident Focus Group Guide - Outcome Oriented
Resident Focus Group Guide - Process Oriented
none
Focus Group Guide
Resident Focus Group Screening
none
Focus Group Screener
Resident Pre-Focus Group Survey
none
Resident Pre-Focus Group Survey
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
4,664
0
0
4,664
0
0
Annual Time Burden (Hours)
1,922
0
0
1,922
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 previously submitted new ICR. OMB has waived republication of the FRNs.
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)?
No
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:
09/30/2013
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