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:
0920-1254
ICR Reference No:
202204-0920-005
Status:
Historical Active
Previous ICR Reference No:
201812-0920-004
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1254
Title:
Communities Organized to Prevent Arboviruses: Assessment of Knowledge, Attitudes, and Vector Control Practices and Sero-Prevalence and Incidence of Arborviral Infection in Ponce, Puerto Rico (COPA)
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:
03/17/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/08/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2026
36 Months From Approved
Responses
72,145
0
0
Time Burden (Hours)
4,349
0
0
Cost Burden (Dollars)
36,970
0
0
Abstract:
The purpose of this project is to establish longitudinal follow-up of a community cohort and evaluate the impact of vector control interventions in 14 clusters in southern Puerto Rico. The investigators have prior experience working in these communities; however, there is minimal available information regarding the prevalence or incidence of infection with tropical arboviruses, density of Ae. aegypti mosquitoes, or cluster members’ knowledge, attitudes, and practices regarding behaviors intended to avoid mosquitoes. Such information will be needed to inform decision-making regarding the location, design, and content of interventions to be implemented and evaluated to reduce the burden of these pathogens. This Reinstatement includes updated estimates for the number of respondents based on participation rates in the most recent year. We also request OMB approval for changes to the content of all four questionnaires and for the addition of the AIS text messaging system, the AIS questionnaire, and the COVID-19 case follow up questionnaire. Burden to respondents will increase by 838 hours per year.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: PHSA
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:
86 FR 66311
11/22/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 20863
04/08/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
AIS Questionnaire
0920-1254
AIS Questionnaire - Data Collection Instruments (combined English/Spanish)
AIS Text Message
0920-1254
AIS Text Message - Data Collection Instruments (combined English/Spanish)
COVID-19 Case Follow-Up Questionnaire
0920-1254
COVID-19 Case Follow-Up Questionnaire
Household Representative Questionnaire
0920-18ANU, 0920-1254
Household Representative Questionnaire
,
Household Representative Questionnaire - Data Collection Instruments (combined English/Spanish)
Individual Questionnaire
0920-18ANU, 0920-18ANU, 0920-1254
Individual Questionnaire
,
Individual Questionnaire Spanish
,
Individual Questionnaire - Data Collection Instruments (combined English/Spanish)
Knowledge, Attitudes, and Practices Individual Questionnaire
0920-18ANU, 0920-18ANU, 0920-18ANU, 0920-18ANU, 0920-18ANU, 0920-18ANU, 0920-18ANU, 0920-1254
KAP Adult
,
KAP Older Child
,
KAP Younger Child
,
Spanish KAP Adult
,
Spanish KAP Older Child
,
Spanish KAP Younger Child
,
Year Two Combined Questionnaire
,
Knowledge, Attitudes and Practices (KAP) Questionnaire - Data Collection Instruments (combined English/Spanish)
Mobility Questionnaire
0920-1254
Mobility Questionnaire - Data Collection Instruments (combined English/Spanish)
Specimen Collection
0920-18ANU, 0920-1254
Specimen Lab Form
,
Specimen Collection - Data Collection Instruments (combined English/Spanish)
Vector Control Intervention Questionnaire
0920-18ANU, 0920-18ANU, 0920-1254
Vector Control Questionnaire
,
Spanish Vector Control Questionnaire
,
Vector Control Questionnaire - Data Collection Instruments (combined English/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
72,145
0
0
56,025
0
16,120
Annual Time Burden (Hours)
4,349
0
0
878
0
3,471
Annual Cost Burden (Dollars)
36,970
0
0
11,804
0
25,166
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:
Reinstatement with Change for 0920-1254 includes revisions to existing data collection instruments, and addition of new data collection instruments to the previously approved collection. Total burden increases by 838 burden hours.
Annual Cost to Federal Government:
$2,073,176
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.
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:
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:
04/08/2022