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:
0920-1289
ICR Reference No:
202309-0920-005
Status:
Active
Previous ICR Reference No:
201910-0920-011
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1289
Title:
[NCCDPHP] Sealant Efficiency Assessment for Locals and States (SEALS)
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:
12/21/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/31/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2026
36 Months From Approved
Responses
3,582
0
0
Time Burden (Hours)
1,388
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
By age 19, 67% of U.S. adolescents living in poverty have experienced tooth decay and 27% have at least one decayed tooth needing treatment. School sealant programs provide dental sealants, which protect against 80% of cavities for two years, and continue to protect against 50% of cavities for up to four years. CDC requests information from states regarding children's cavity risk, one-year sealant retention rate, sealant program services delivered, and school sealant program cost and quantity of resources used at each school event. This data will allow CDC and states to monitor the performance and efficiency of their school sealant programs, which will improve and extend program delivery to more children.
Authorizing Statute(s):
US Code:
42 USC 247b-14
Name of Law: U.S. 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:
88 FR 36583
06/05/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 72762
10/23/2023
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Add Program and Add User - State Sealant Administrator
0920-1289
SEALS Administration - Child Aggregate Screens
Program Administration - Program Options and Cost Options (SSP Local Administrator)
0920-1289
Program Administration - Program Options and Cost Options
Program Administration -Child Aggregate Screens (SSP Local Administrator)
0920-1289
Child Aggregate Screens - Add Event
SEALS Administration - Add User/Program/School (SSP Local Administrator)
0920-1289
SEALS State and Program Administrator Screens
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
3,582
0
0
3,582
0
0
Annual Time Burden (Hours)
1,388
0
0
1,388
0
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:
No
Burden Reduction Due to:
Short Statement:
The change is the addition of collecting race/ethnicity data according to OMB standards. To advance health equity, addressing social determinants of health and improving diversity, equity, inclusion, accessibility, and belonging, the collection of race/ethnicity is crucial. Driving factors behind negative social determinants of health—such as economic policies and systems, social norms, systemic racism, and climate change—have negatively affected the health and health outcomes of groups including, but not limited to African American/Black, American Indian or Alaska Native, Asian, Hispanic, or Latino, and Native Hawaiian or other Pacific Islander people. The reinstatement request occurred because of delays by program to prepare the OMB package. There were no changes to burden.
Annual Cost to Federal Government:
$62,810
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
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:
10/31/2023
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