Children's Health after the Storms (CHATS)

OMB Control No: 0920-0925	ICR Reference No: 201204-0920-002
Status: Historical Active	Previous ICR Reference No: 201109-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Children's Health after the Storms (CHATS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/07/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/17/2012
Terms of Clearance: Prior Terms continue: Clearance is provided consistent with the understanding that this collection is designed to examine the feasibility of conducting a more robust study. Because this collection is not statistically rigorous enough to characterize the existence, size, or nature of the relationships between health outcomes and exposures, CDC has stated that they will not share underlying data outside of the agency and neither CDC nor its collaborators will disseminate the results of any analyses of the relationships between health outcomes and exposure. Upon submission of the next phase of this study to OMB, CDC will fully characterize the results of each of the methodological objectives described in the current collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	03/31/2015	03/31/2015
Responses	3,178	0	3,178
Time Burden (Hours)	1,310	0	1,310
Cost Burden (Dollars)	0	0	0

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Abstract: This request for change to CHATS is to provide the Spanish and Vietnamese translations for the project and new outreach materials. There is no change in burden or respondents.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

IC Title Form No. Form Name Baseline: Session 1 (Parent Modules) none CHATS Attachment L_revised_02272012 Baseline: Session 2 (Child Modules) none CHATS Attachment M_revised_02272012 Baseline: Session 2 (Parent Modules) none CHATS Attachment M_revised_02272012 6-Month Follow-up: Session 1 (Child Modules) none CHATS Attachment N_revised_02272012 6-Month Follow-up: Session 1 (Parent Modules) none CHATS Attachment N_revised_02272012 6-Month Follow-up: Session 2 (Child Modules) none CHATS Attachment O_revised_02272012 6-Month Follow-up: Session 2 (Parent Modules) none CHATS Attachment M_revised_02272012 Verification Quesionnaire for Eligibility Screener (10% subsample) none Verification for Screener Verification Questionnaire for Baseline and 6-Month Follow-up Visits (9% subsample) none Verification for Interview Mail Verification Form for Baseline and 6-Month Fllow-up Visits (1% subsample) none Mail Verification for Interview Eligibillity Screener none CHATS Attachment K_revised_02272012 Baseline: Session 1 (Child Modules) none CHATS Attachment L_revised_02272012

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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	3,178	3,178	0	0	0	0
Annual Time Burden (Hours)	1,310	1,310	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,701,501

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

Agency Contact: Tony Richardson 404 639-4965 [email protected]

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Common Form ICR:  No

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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: 04/17/2012

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