OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Assessment on Public Knowledge, Attitudes, and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Guinea

ICR 201505-0920-001 · OMB 0920-1062 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Guinea KAP Household Member Interview Form New Repair queued
Guinea KAP - Community Leader Interview Form New Repair queued
Att7-GuineaKAP Analysis Plan 20150429 clean.docx Supplementary Document Uploaded 2015-05-07 Repair queued
Att5-KAP Guinea Household Intro 20150507 clean.docx Supplementary Document Uploaded 2015-05-07 Available
Att3-GuineaKAP Intro Leader 20150507 clean.doc Supplementary Document Uploaded 2015-05-07 Available
Att2 GKAP ResrchDetrm & LetterSpprt 20150507.pdf Supplementary Document Uploaded 2015-05-07 Repair queued
Att1-A 42 USC 241 PH Service Act Section 301.pdf Supplementary Document Uploaded 2015-05-07 Available
20150507 GKAP Em Req Memo.pdf Supplementary Document Uploaded 2015-05-07 Available
SpptngSttmnt B GKAP 20150507 clean.docx Supporting Statement B Uploaded 2015-05-07 Repair queued
SpptngSttmnt A GKAP 20150507 clean.docx Supporting Statement A Uploaded 2015-05-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
216472 Guinea KAP Household Member Interview Form New
216471 Guinea KAP - Community Leader Interview Form New
ICR Details
0920-1062 201505-0920-001
Historical Active
HHS/CDC 15AHM
Assessment on Public Knowledge, Attitudes, and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Guinea
New collection (Request for a new OMB Control Number)   No
Emergency 05/08/2015
Approved without change 05/08/2015
Retrieve Notice of Action (NOA) 05/07/2015
  Inventory as of this Action Requested Previously Approved
11/30/2015 6 Months From Approved
6,150 0 0
6,075 0 0
0 0 0
This is an emergency request to rapidly evaluate current knowledge, attitudes, and prevention and control practices regarding Ebola Virus Disease (EVD) in Guinea using nationally representative methods. The rapid assessment aims to identify barriers and gaps in knowledge, attitudes, and practices that contribute to the persisting Ebola outbreak in Guinea. This data is urgently needed to achieve CDC goals to move toward zero new cases.
National information about core KAP indicators are urgently needed in Guinea to better understand the drivers of this persistent epidemic, even as incidence rates drop. Information of value includes use of prevention practices, sources of care sought for EVD symptoms, stigma and discrimination faced by ill persons or EVD survivors, exposure to EVD information, and or preferred sources of EVD-related health care, education, or community engagement channels as well as the reach and impact of EVD health promotion activities since the start of this outbreak. It is urgent to start this assessment by mid-May before the start of the rainy season when many roads become impassable.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
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 6,150 0 0 6,150 0 0
Annual Time Burden (Hours) 6,075 0 0 6,075 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Emergency submission for 0920-15AHM is a New ICR.
$219,986
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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.
05/07/2015