OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Assessment and Evaluation of the Role of Care Coordination (Case Management) in Improving Access and Care within the Spina Bifida Clinic System

ICR 200707-0920-003 · OMB 0920-0759 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Clinic Staff Interviews Form and Instruction New Available
Clinic Staff - Telephone Interview Script Form and Instruction New Available
Clinic Recruitment Form and Instruction New Available
Caregivers - Telephone Recruitment and Screening Form and Instruction New Available
Caregivers - Focus Group Form and Instruction New Repair queued
Caregivers - Focus Group Response Form Form and Instruction New Available
Attachment D--IRB Approval Documents.doc Supplementary Document Uploaded 2007-06-18 Available
Attachment B-60 day FRN.doc Supplementary Document Uploaded 2007-06-18 Available
Attachment A--Applicable Laws.doc Supplementary Document Uploaded 2007-06-18 Available
0920-06BF SS A and B.doc Supporting Statement A Uploaded 2007-06-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181193 Clinic Staff Interviews Form and Instruction New
181192 Clinic Staff - Telephone Interview Script Form and Instruction New
181191 Clinic Recruitment Form and Instruction New
181190 Caregivers - Telephone Recruitment and Screening Form and Instruction New
181189 Caregivers - Focus Group Form and Instruction New
181188 Caregivers - Focus Group Response Form Form and Instruction New
ICR Details
0920-0759 200707-0920-003
Historical Active
HHS/CDC
Assessment and Evaluation of the Role of Care Coordination (Case Management) in Improving Access and Care within the Spina Bifida Clinic System
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/07/2008
Retrieve Notice of Action (NOA) 07/13/2007
  Inventory as of this Action Requested Previously Approved
01/31/2009 12 Months From Approved
399 0 0
244 0 0
0 0 0
Spina bifida is one of the most common birth defects, affecting approximately 3 per 10,000 live births in the United States annually. Providing care for people who are born with spina bifida is complex and challenging. Multiple physicians and many other professionals and services are involved regularly in addressing the many medical and non-medical issues that these individuals and their families face. Care coordination has been utilized for individuals with complex health conditions such as cystic fibrosis and sickle cell anemia, and has been found to be beneficial for assisting patients and their families. However, a limited number of empirical studies have examined care coordination within the spina bifida clinic setting. The proposed data collection will use qualitative methods to 1) examine the extent to which care coordination in spina bifida clinics is perceived to be effective; 2) identify perceived barriers to providing care coordination in spina bifida clinics; and 3) identify potential best practices related to providing care coordination in spina bifida clinics.
US Code: 42 USC 317C Name of Law: Birth Defects and Developmental Disabilities Prevention Act of 2003
  
None
Not associated with rulemaking
  71 FR 28703 05/17/2006
72 FR 34016 06/20/2007
Yes
  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 399 0 0 399 0 0
Annual Time Burden (Hours) 244 0 0 244 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$165,111
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/13/2007