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 201202-0920-001 · OMB 0920-0805 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 2 Risk Factor Surveys (Interview and SAQ) Form and Instruction Modified Available
Form 1 Screening Interview Form Modified Available
SS_B REACH US Eval Revision.doc Supporting Statement B Uploaded 2012-01-26 Available
Attachment 8. Nonresponse Plan.doc Supplementary Document Uploaded 2012-01-26 Available
Attachment 7. MMWR Surveillance Summaries.pdf Supplementary Document Uploaded 2012-01-26 Repair queued
Attachment 6. Table of Questionnaire Changes.docx Supplementary Document Uploaded 2012-01-26 Available
Attachment 4. Report on Incentive Experiments.docx Supplementary Document Uploaded 2012-01-26 Available
Attachment 3b. Summary of Public Comments.docx Supplementary Document Uploaded 2012-01-26 Available
Attachment 3a. Federal Register Notice.pdf Supplementary Document Uploaded 2012-01-26 Repair queued
Attachment 1. Authorizing Legislation.doc Supplementary Document Uploaded 2012-01-26 Available
Attachment 2d. Advance Letter.doc Supplementary Document Uploaded 2012-01-26 Available
SS_A REACH US Eval Revision.doc Supporting Statement A Uploaded 2012-01-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
184630 Risk Factor Surveys (Interview and SAQ) Form and Instruction Modified
184629 Screening Interview Form Modified
ICR Details
0920-0805 201202-0920-001
Historical Active 200804-0920-004
HHS/CDC
Racial and Ethnic Approaches to Community Health across the U.S. (REACH U.S.) Evaluation
Revision of a currently approved collection   No
Regular
Approved without change 03/02/2012
Retrieve Notice of Action (NOA) 02/01/2012
  Inventory as of this Action Requested Previously Approved
03/31/2015 24 Months From Approved 03/31/2012
49,600 0 126,600
9,460 0 9,875
0 0 0
CDC requests OMB approval to collect two additional years of health risk factor information from a random sample of adults in 28 REACH US communities (900 individuals per community). Results will be used to evaluate the REACH US program and to monitor health trends in racial and ethnic minority populations.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  76 FR 62070 10/06/2011
77 FR 4044 01/26/2012
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 49,600 126,600 0 -77,000 0 0
Annual Time Burden (Hours) 9,460 9,875 0 -415 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
The REACH US program is funded through a five-year cooperative agreement. Information has been collected for Years 1-3. The Revision request supports information collection in Years 4-5. Please note that the burden hours approved by OMB on 2/25/2009 reflect estimates in the original submission, which was received by OMB on 4/25/2008. However, the final OMB approval was based on a revised version of the supporting statement, dated 2/20/2009. The current Revision request represents a net increase in burden when compared to the 2/20/2009 version of the supporting statement. It represents a net decrease when compared to the original submission posted on 4/25/2008.
$4,800,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Petunia Gissendaner 4046390164
  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.
02/01/2012