OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Knowledge, Attitudes, and Practices related to a Domestic Readiness Initiative on Zika Virus Disease

ICR 201609-0920-020 · OMB 0920-1136 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Zika Readiness Initiative Survey - Puerto Rico Adults Form and Instruction Modified Repair queued
Zika Readiness Initiative Survey - U.S. Domestic Adults Form and Instruction Modified Available
0920-1136 Change Request Justification_10_03_2016_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-10-05 Available
Zika Readiness OMB Supporting Statement B_OMB_revised_10_03_16_clean.docx Supporting Statement B Uploaded 2016-10-05 Available
Zika Readiness OMB Supporting Statement A_OMB_revised_10_3_16_clean.docx Supporting Statement A Uploaded 2016-10-05 Available
Emergency request memo.pdf Supplementary Document Uploaded 2016-09-08 Available
Attachment G - Script for incoming calls.docx Supplementary Document Uploaded 2016-09-08 Available
Attachment F - Zika Readiness Voicemail Message.docx Supplementary Document Uploaded 2016-09-08 Available
Attachment B - 60-Day Federal Register Notice.docx Supplementary Document Uploaded 2016-09-08 Available
Attachment A - Public Health Service Act (42 USC 241) Section 301.pdf Supplementary Document Uploaded 2016-09-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
223458 Zika Readiness Initiative Survey - Puerto Rico Adults Form and Instruction Modified
223456 Zika Readiness Initiative Survey - U.S. Domestic Adults Form and Instruction Modified
ICR Details
0920-1136 201609-0920-020
Historical Active 201609-0920-004
HHS/CDC 0920-1136-16BCY
Knowledge, Attitudes, and Practices related to a Domestic Readiness Initiative on Zika Virus Disease
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/14/2016
Approved without change 10/06/2016
Retrieve Notice of Action (NOA) 10/06/2016
  Inventory as of this Action Requested Previously Approved
03/31/2017 03/31/2017 03/31/2017
7,200 0 7,200
1,440 0 1,440
0 0 0
An Emergency ICR is being submitted to determine knowledge, attitudes, and practices (KAPs) related to a new Domestic Readiness Initiative on Zika Virus Disease being launched in select regions of the United States (U.S.) mainland and Puerto Rico. The intended use of the data collected is to improve planning, implementation, refinements, and demonstrate outcomes of a Zika Domestic Readiness Initiative communication and education effort.
Due to the urgent nature of this public health emergency, CDC is implementing a Zika prevention communication and education initiative in the continental United States and Puerto Rico. By launching a Domestic Readiness Initiative on Zika health protection and communication, CDC intends to reach audiences with accurate information regarding Zika and motivate them to follow recommended actions to protect themselves. The overall objective of this project is to launch a Zika health protection and communication campaign in response to a growing public health emergency. CDC requests the 60 and 30 day comment periods to be waived for this Zik-related collection.
US Code: 42 USC 241 Name of Law: U.S. 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 7,200 7,200 0 0 0 0
Annual Time Burden (Hours) 1,440 1,440 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There is no overall change in Burden Hours associated with this Non-Substantive Change Request. Burden Hours have been redistributed among Respondents.
$36,461
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.
10/06/2016