View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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 Generic ICR - OIRA Conclusion
OMB Control No:
0920-0932
ICR Reference No:
201503-0920-002
Status:
Historical Active
Previous ICR Reference No:
201203-0920-007
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
Data Collection for Evaluation of Education, Communication, and Training Activities
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/09/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/09/2015
Terms of Clearance:
Approved consistent with the following terms of clearance: For each information collection, a GenIC information collection request will be prepared and submitted to OMB for review and approval. Any changes to the ICR will also be submitted to OMB for review and approval. When incentives are used, a justification must be provided.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2018
36 Months From Approved
07/31/2015
Responses
112,500
0
166,500
Time Burden (Hours)
53,505
0
66,498
Cost Burden (Dollars)
0
0
0
Abstract:
This is a request to revise the Generic for Evaluating Education, Communication, and Training Activities within the National Center for Emerging and Zoonotic Infectious Disease's Division of Global Migration and Quarantine Division (DGMQ).
Authorizing Statute(s):
US Code:
42 USC 361
Name of Law: Public Health Service
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:
79 FR 75155
12/17/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 13564
03/16/2015
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Evaluation of Travelers' Health Zika Prevention Communication Campaign for HispanicsLatinos Visiting Friends and Family Word of Mouth Survey (Pre/Post Test)
Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies
NA, NA, NA, NA
Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English
,
Moderator’s Guide of Questions for Focus Groups with Sending Agencies - Spanish
,
Moderator’s Guide for Focus Groups with Volunteers - English
,
Moderator’s Guide for Focus Groups with Volunteers - Spanish
Knowledge, Attitudes, and Practices about Dengue, Chikungunya, and Zika among Travel Consultants and Aid Agencies
NA, NA, NA, NA
Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English
,
Moderator’s Guide of Questions for Focus Groups with Sending Agencies - Spanish
,
Moderator’s Guide of Questions for Focus Groups with Missionairies/Volunteers - English
,
Moderator’s Guide of Questions for Focus Groups with Missionairies/Volunteers - Spanish
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
112,500
166,500
0
-54,000
0
0
Annual Time Burden (Hours)
53,505
66,498
0
-12,993
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This ICR Revision results in a decreased number of burden hours due to CDC no longer requesting Screeners for Large Group Discussions or Large Group Discussions as information collections. CDC is also no longer requesting Screeners for Pre/Post Tests.
Annual Cost to Federal Government:
$2,863,550
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
04/09/2015
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