The Green Housing Study

OMB Control No: 0920-0906	ICR Reference No: 201408-0920-008
Status: Historical Active	Previous ICR Reference No: 201112-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: The Green Housing Study
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/24/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/04/2014
Terms of Clearance: Approval is given contingent on the understanding that CDC will submit a non-substantive change request to OMB via ROCIS before fielding translated instruments or any site-specific variations on the protocol, consent forms, or recruitment materials developed locally. Similarly, all changes to the questionnaires must be submitted to OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	11/30/2014
Responses	25,960	0	25,960
Time Burden (Hours)	2,356	0	2,356
Cost Burden (Dollars)	0	0	0

---

Abstract: The Centers for Disease Control and Prevention (CDC) is requesting a three-year extension for an existing information collection request (ICR) titled "The Green Housing Study" (OMB No. 0920-0906; expiration date: 11/30/2014). The Green Housing Study began in 2011 to gain a better understanding of the extent to which green-built, low-income housing actually reduces exposures to allergens and toxic substances when compared to standard-built, low-income housing. The study was designed to investigate if changes in such exposures are associated with changes in asthma morbidity among children

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 15748	03/21/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 47466	08/13/2014
Did the Agency receive public comments on this ICR? No

---

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

IC Title Form No. Form Name Mothers/Primary Caregivers of Children with Asthma 0920-0906 Appndx_D1_Screen Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire(Home Characteristics) 0920-0906 Appndx_D2_Baseline_HomeChar Mothers/Primary Caregivers of Enrolled Children Baseline Questionnaire( Part 2 - Home Characteristics) 0920-0906 Appndx D3_Baseline_Pt 2 HomeChar 10-10-2011 Mothes/Primary Caregivers of Enrolled Children Baseline Questionnaire - Demographics 0920-0906 Appndx D4_Baseline Demog 6-29-2011 Illness Checklist 0920-0906 Appndx D12_Ill_Chklst_C7-12 5-10-2011 Time / Activity Form - for Mothers / Primary Caregivers N/A REVISED_APPENDIX_D11_Time Activity (Mother- Primary Caregiver)_October 20.2011 Baseline Questionnaire for Children with Asthma 0920-0906 Appndx D5_Baseline_C7-12 5-10-2011 Monthly Text Messages Children with Asthma 0920-0906 Appndx D6_Txt_Msg_C7-12 7-1-2011 Three and Nine Month Follow - up Phone Contact (Environment) 0920-0906 Appndx D7_3_9mo_C7-12 5-10-2011 Six and Twelve Month Follow-up Questionnaire - for Children With Asthma 0920-0906 Appndx D8_6_12mo_FU_Env 7-1-2011 Six and Twelve Month Follow-up Questionnaire - for Environment 0920-0906, none Appndx D9_6_12mo_C7-12 7-1-2011 ,   6 and 12 month Follow-up Children Time / Activity Form - for Children 0920-0906 Appndx D9_6_12mo_C7-12 7-1-2011

---

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	25,960	25,960	0	0	0	0
Annual Time Burden (Hours)	2,356	2,356	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:

---

Annual Cost to Federal Government: $476,333

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]

---

Common Form ICR:  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:
		(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: 09/04/2014

---