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:
0920-0904
ICR Reference No:
201705-0920-019
Status:
Historical Active
Previous ICR Reference No:
201405-0920-004
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0904
Title:
SEARCH for Diabetes in Youth Study
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
10/27/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/21/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2020
36 Months From Approved
10/31/2017
Responses
5,444
0
13,910
Time Burden (Hours)
2,016
0
4,248
Cost Burden (Dollars)
0
0
0
Abstract:
CDC requests OMB approval to continue collecting information in Phase 4 of a registry study known as SEARCH for Diabetes in Youth. OMB first approved this study in 2011 (OMB # 0920-0904, exp. 11/30/2014), and a revision was approved in 2014 (exp. 8/31/2017). OMB approval is requested for the final three years of the five year project. Phase 4 is built upon activities a multi-center initiated in 2000 through collaborative research project that involved six clinical sites and a data coordinating center, all funded through cooperative agreements. Phase 3 and 4 only included 5 clinical sites and a data coordinating center. A number of changes have been implemented and will continue during Phase 4. Respondents will continue to be youth < 20 years of age who have been diagnosed with diabetes or their parents. Information will support a case registry that can be used to estimate the incidence and prevalence of diabetes in youth in the U.S. IN Phase 3, CDC also funded a cohort component to this study. For Phase 4, CDC is no longer funding this component. The registry study will continue to collect information from participants who were initially diagnosed with diabetes in 2016 to complete an in-person study examination.
Authorizing Statute(s):
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:
81 FR 88685
12/08/2016
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 32702
07/17/2017
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
Peds QL Diabetes Module
SEARCH - Initial Participant Survey - Incident
n/a, n/a, n/a, n/a
Initial Participant Survey - Incident Case Child Version (screen shots)
,
Initial Participant Survey - Incident Case Child Version (Paper)
,
Initial Participant Survey - Incident Case Young Adult Version (screen shots)
,
Initial Participant Survey - Incident Case Young Adult version (paper)
SEARCH CES-Depression
SEARCH Diabetes Eating Problem Survey (DEPS-R)
SEARCH Diabetes Related Family Conflict Survey
SEARCH Food Frequency Questionnaire
SEARCH Health Questionnaire (Parent_Feb 2014) Cohort Study
SEARCH Health Questionnaire (Youth )
SEARCH Initial Participant Survey - Prevalence
n/a, n/a
Initial Participant Survey - Adult Prevalent Case
,
Initial Participant Survey - Child Prevalent Case
SEARCH Low Blood Surgar Survey
SEARCH Medication Inventory (Incident Case)
n/a
Medications Inventory
SEARCH Michigan Neuropathy Screening Instrument (MNSI)
SEARCH Pathology Notificaiton (Retinal Photo)
SEARCH PedsQL
SEARCH Physical Examination
n/a
Physical Examination Form
SEARCH Quality of Care Survey (Feb 2014)
SEARCH Specimen Collection Form
n/a
Specimen Collection Form
SEARCH Supplemental Questionnaire
SEARCH Tanner Stage
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
5,444
13,910
0
1,474
-9,940
0
Annual Time Burden (Hours)
2,016
4,248
0
-670
-1,562
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The SEARCH for Diabetes in Youth Study was initially approved with 4,248 annualized burden hours. In this Revision, we request approval for 1,879 annualized burden hours (a net reduction of 2,369 annualized burden hours).
Annual Cost to Federal Government:
$2,502,626
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
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:
Thelma Sims 4046394771
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:
07/21/2017
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