OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Racial and Ethnic Approaches to Community Health across the U.S. (REACH U.S.) Evaluation

ICR 200804-0920-004 · OMB 0920-0805 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment 9. REACH US Grantees.xls Supplementary Document Uploaded 2009-02-24 Available
Attachment 8. Postcard_revised privacy text.pdf Supplementary Document Uploaded 2009-02-24 Available
Attachment 8. Postcard_revised privacy text.pdf Supplementary Document Uploaded 2009-02-24 Available
Attachment 7. Nonresponse Plan.doc Supplementary Document Uploaded 2009-02-24 Available
Attachment 11. Incentive Experiments.doc Supplementary Document Uploaded 2009-02-24 Available
SS_A REACH US Eval (Revised 2-20-2009).doc Supplementary Document Uploaded 2009-02-24 Available
SS_B REACH US Eval (Revised 2-20-2009).doc Supplementary Document Uploaded 2009-02-24 Available
SS_B REACH US Eval.doc Supporting Statement B Uploaded 2008-04-08 Repair queued
Attachment 6. IRB Approval.doc Supplementary Document Uploaded 2008-04-08 Repair queued
Attachment 4. Sample Size Calculation.doc Supplementary Document Uploaded 2008-04-08 Available
Attachment 2b. Summary of Public Comments.doc Supplementary Document Uploaded 2008-04-08 Repair queued
Attachment 2. 60-day FRN.pdf Supplementary Document Uploaded 2008-04-08 Repair queued
Attachment 1. Authorizing Legislation.doc Supplementary Document Uploaded 2008-04-08 Available
Attachment 5. Advance Letter.doc Supplementary Document Uploaded 2008-04-08 Available
SS_A REACH US Eval.doc Supporting Statement A Uploaded 2008-04-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
184630 Household Member Interview Other-Telephone Interview Script New
184629 Introductory Screening Interview Other-Telephone Screening Script New
ICR Details
0920-0805 200804-0920-004
Historical Active
HHS/CDC
Racial and Ethnic Approaches to Community Health across the U.S. (REACH U.S.) Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/25/2009
Retrieve Notice of Action (NOA) 04/25/2008
Approved consistent with changes outlined in CDC memos included in the public docket. The Agency shall provide a report to OMB addressing the results of the incentives experiment upon completion.
  Inventory as of this Action Requested Previously Approved
02/29/2012 36 Months From Approved
126,600 0 0
9,875 0 0
0 0 0
REACH US is a community intervention program designed to eliminate health disparities in minority communities. As part of the program evaluation, CDC will conduct annual telephone surveys in the intervention communities. It is estimated that 29 communities will participate in the survey and 900 completed interviews will be performed in each community each year.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  72 FR 64652 11/16/2007
73 FR 19506 04/10/2008
Yes
2
IC Title Form No. Form Name
Introductory Screening Interview
Household Member Interview
  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 126,600 0 0 126,600 0 0
Annual Time Burden (Hours) 9,875 0 0 9,875 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$5,100,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Carol Walker 4046394773
  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.
04/25/2008