View Information Collection Request (ICR) Package

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: 0920-1264	ICR Reference No: 202006-0920-006
Status: Historical Active	Previous ICR Reference No: 202001-0920-016
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1264-20OZ
Title: Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/23/2020
	Date Received in OIRA: 06/11/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	05/31/2022	05/31/2022
Responses	5,744	0	1,067
Time Burden (Hours)	604	0	356
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,744	1,067	4,677
Annual Time Burden (Hours)	604	356	248
Annual Cost Burden (Dollars)	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: Revising the study's screener helped to eliminates unnecessary questions and adds more explicit interviewer instructions. We are requesting to increase to the initially approved total sample size of 1,200 to 2,000 completed interviews. Because 101 pilot interviews have already been completed, we propose to interview 1,899 for the full study. In order to obtain 2,000 completed interviews, assuming that 35% of women screened will not be eligible and now including an estimated refusal rate of 17% among eligible women, we would need to increase the number of women screened from 2,000 to approximately 3,744 women. Overall, we estimate an annualized increase of 248 burden hours (from 356 to 604 Total Annualized Burden Hours)

Annual Cost to Federal Government: $261,019

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? No

Agency Contact: Thelma Sims 4046394771

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.