OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Public Health Systems, Mental Health and Community Recovery Project

ICR 201308-0920-012 · OMB 0920-0993 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Household Survey for General Public_Study Screener Form and Instruction New Repair queued
Household Survey (Telephone) for General Public and Consent Form and Instruction New Repair queued
Suppporting Statement Part B_8152013.docx Supporting Statement B Uploaded 2013-08-27 Available
Attachment L_ Household Survey for General Public_ Postcard to Indicate Interest.docx Supplementary Document Uploaded 2013-08-27 Repair queued
Attachment K_ Household Survey for General Public_ Letter for Addresses without Matched Phone Numbers.docx Supplementary Document Uploaded 2013-08-27 Repair queued
Attachment I- ICF IRB Approval Form.pdf Supplementary Document Uploaded 2013-08-27 Available
Attachment A_Section 241 of the Public Health Service Act (42 U.S.C. 241....pdf Supplementary Document Uploaded 2013-08-27 Available
Attachment J_ Household Survey for General Public_ Letter for Addresses with Matched Phone Numbers.docx Supplementary Document Uploaded 2013-08-27 Repair queued
Supporting Statement Part A _8152013.docx Supporting Statement A Uploaded 2013-08-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
208429 Household Survey for General Public_Study Screener Form and Instruction New
208428 Household Survey (Telephone) for General Public and Consent Form and Instruction New
208427 Key Informant Interview Guide_Community Organization Respondents Other-Interview Guide New
208426 Key Informant Interview Guide_PH/MH Agency Staff Other-Interview Guide New
ICR Details
0920-0993 201308-0920-012
Historical Active
HHS/CDC 20396
Public Health Systems, Mental Health and Community Recovery Project
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/30/2013
Retrieve Notice of Action (NOA) 08/29/2013
  Inventory as of this Action Requested Previously Approved
09/30/2015 24 Months From Approved
8,790 0 0
1,706 0 0
0 0 0
This project stems from, and aligns with, publication of the Office of Public Health Preparedness and Response's (OPHPR) "National Strategic Plan for Public Health Preparedness and Response" which provides overall direction for Centers for Disease Control and Prevention's (CDC) preparedness and response portfolio, including programmatic direction across OPHPR's four divisions. The focus of this project is to generate findings useful for future preparedness planning and response in order to develop strategies and interventions aimed at mitigating the impact of adverse events. In April 2011, one of the largest tornado outbreaks ever recorded, a "Super Outbreak," occurred in the southeastern United States, resulting in more than 300 deaths and an estimated $11 million in damages. CDC, in collaboration with ICF International, will conduct a mixed method evaluation utilizing key informant interviews of public health and mental health agency staff and other community representatives at the local, county and State levels and household survey data in each of the communities to assess community recovery and resilience. Specifically, the study design includes two main components (qualitative and quantitative) designed to comprehensively examine the PH/MH system response to and community recovery and resilience from disasters.
US Code: 42 USC 241 Name of Law: Public Health and Welfare--Research and Investigations Generally
  
None
Not associated with rulemaking
  78 FR 25088 04/29/2013
78 FR 52771 08/26/2013
No
  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 8,790 0 0 8,790 0 0
Annual Time Burden (Hours) 1,706 0 0 1,706 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new Information Collection Request.
$457,384
Yes Part B of Supporting Statement
No
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.
08/29/2013