Three months clearance is granted for this emergency collection. As this collection is anticipated to extend beyond 3 months, CDC will submit a new information collection request to OMB for standard review and approval.
Inventory as of this Action
Requested
Previously Approved
05/31/2017
6 Months From Approved
2,237
0
0
736
0
0
0
0
0
The goal of this collection is to monitor & evaluate the implementation of the Zika Contraception Access Network (Z-CAN) a program designed to increase access to reversible contraceptive methods among reproductive-aged women in Puerto Rico who choose to delay or avoid pregnancy as a primary strategy to reduce Zika-related adverse pregnancy and birth outcomes, and assess patterns of contraceptive use and pregnancy rates after participating in Z-CAN.
The Z-CAN service program to be evaluated began in July 2016. Trainings with providers were completed in September 2016, patient enrollment accelerated in October 2016, and the program is currently expected to end in July 2017. It was recently decided that it is likely that quality improvement would be possible and assessment of the programâs potential for adaptation in other settings would be valuable. To ensure timely data collection, the evaluation should begin at the earliest possible date for program improvement. Patient evaluations, scheduled for 6- and 12-months from enrollment in the Z-CAN program must begin by April 2017 to capture the majority of participants.Findings will be assessed on a rolling basis and information gained will be put to immediate use to affect program improvements. A delayed start would potentially mean this critical information is gathered too late to improve the Puerto Rico program, and too late to determine its suitability for adaptation in other areas with widespread mosquito transmission of the Zika virus during the current outbreak.
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.
Online Survey - 12 month Follow-Up - Patients 18 years or older
Emergency Review Request Memo - Final.pdf
09-20-0136 57FR62812 SORN.txt
Att Q Consent_Online Survey_ZCAN women.docx
Online Survey - 12 month Follow-Up - Patients 18 years or older