Research to Inform the Prevention of Asthma in Healthcare

OMB Control No: 0920-0983	ICR Reference No: 201304-0920-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 19260
Title: Research to Inform the Prevention of Asthma in Healthcare
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/06/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/19/2013
Terms of Clearance: Approved consistent with the understanding that, as a cohort study, the results will add to the general literature on this topic, but alone cannot be the basis of conclusions about the industry as a whole.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	24 Months From Approved
Responses	2,503	0	0
Time Burden (Hours)	1,255	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institute for Occupational Safety and Health (NIOSH) is requesting to field a survey to identify modifiable risk factors for asthma among workers in the healthcare industry.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health Act of 1970

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
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 35405	06/13/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 21126	04/09/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 18

IC Title Form No. Form Name Dental Assistants - Telephone Survey none Telephone Survey Environmental Service Workers - Telephone Survey none Telephone Survey Certified Nursing Assistants - Online Survey none Survey Web version Central Supply Workers - Online Survey none Online Survey Dental Assistants - Online Survey none Online Survey Environmental Service Workers - Online Survey none Online Survey Licensed Practical Nurses - Online Survey none Online Survey Lab Technicians - Online Survey none Online Survey Operating Room Technicians - Online Survey none Online Survey Registered Nurses - Online Survey none Online Survey Respiratory Therapist - Online Survey none Online Survey Certified Nursing Assistants - Telephone Survey none Telephone Survey Central Supply Workers - Telephone Survey none Telephone Survey Licensed Practical Nurses - Telephone Survey none Telephone Survey Lab Technicians - Telephone Survey none Telephone Survey Operating Room Technicians - Telephone Survey none Telephone Survey Registered Nurses - Telephone Survey none Telephone Survey Respiratory Therapists - Telephone Survey none Telephone Survey

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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	2,503	0	0	2,503	0	0
Annual Time Burden (Hours)	1,255	0	0	1,255	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: This is a new information collection request.

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Annual Cost to Federal Government: $712,358

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: Carol Walker 4046394773

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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: 04/19/2013

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