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View ICR - OIRA Conclusion

OMB Control No: 0915-0343	ICR Reference No: 201709-0915-001
Status: Historical Active	Previous ICR Reference No: 201107-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Poison Help General Population Survey
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2017
	Date Received in OIRA: 09/18/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved
Responses	4,600	0	0
Time Burden (Hours)	374	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	4,600	4,600
Annual Time Burden (Hours)	374	374
Annual Cost Burden (Dollars)	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: In the 2017 survey instrument, questions deemed unnecessary (because information can be gleaned from other questions) were removed, and included questions related to the new additional campaign priorities (opioid, that is, prescription pain medication and heroin, overdose). In light of the current need to use of dual-frame landline and mobile phone, sampling methodologies to maintain high quality nationally representative survey sampling, standard questions related to landline vs. cell phone utilization were added for weighting and quality control purposes. Between the previously approved and conducted study in 2011 and this current initiative, there is a minimal increase in burden, from 370 to 374.

Annual Cost to Federal Government: $109,200

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. No

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. 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: Elyana Bowman 301 443-3983 enadjem@hrsa.gov

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