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 201707-0920-012 · OMB 0920-1197 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Zika Readiness Initiative Survey (U.S. Domestic/Puerto Rico Adults) Form and Instruction New Available
RE request for researchnon-research determination .msg Supplementary Document Uploaded 2017-08-03 Available
Attachment H - Script for incoming calls 2 _5_17.docx Supplementary Document Uploaded 2017-08-03 Available
Attachment G - Zika Readiness Voicemail Message 2_15_17.docx Supplementary Document Uploaded 2017-08-03 Available
Attachment A - Public Health Service Act (42 USC 241) Section 301 2_15_17.pdf Supplementary Document Uploaded 2017-08-03 Available
2017-05933.pdf Supplementary Document Uploaded 2017-08-03 Available
Zika Readiness OMB Supporting Statement B_OMB 2_15_17_revised_clean.docx Supporting Statement B Uploaded 2017-08-03 Available
Zika Readiness OMB Supporting Statement A_ OMB 2_15_17_revised_9_6_2017_clean.docx Supporting Statement A Uploaded 2017-09-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
227798 Zika Readiness Initiative Survey (U.S. Domestic/Puerto Rico Adults) Form and Instruction New
ICR Details
0920-1197 201707-0920-012
Historical Active
HHS/CDC 0920-17WE
Knowledge, Attitudes, and Practices related to a Domestic Readiness Initiative on Zika Virus Disease
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/11/2017
Retrieve Notice of Action (NOA) 08/07/2017
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved
2,400 0 0
560 0 0
0 0 0
The purpose of this data collection is to conduct the final wave of an evaluation survey to assess CDC's communication and education effort to prepare and protect populations at risk of contracting the Zika virus in the domestic U.S and Puerto Rico. This data collection request includes a single, cross-sectional survey to assess current attitudes, beliefs and behaviors related to CDC's Zika Domestic Readiness campaign.
US Code: 42 USC 241 Name of Law: U.S. PHSA
  
None
Not associated with rulemaking
  82 FR 15222 03/27/2017
82 FR 36147 08/03/2017
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 2,400 0 0 2,400 0 0
Annual Time Burden (Hours) 560 0 0 560 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-17WE - Knowledge, Attitudes, and Practices related to a Domestic Readiness Initiative on Zika Virus Disease is a request for approval of a New ICR related to the Zika Virus outbreak.
$36,461
Yes Part B of Supporting Statement
    No
    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.
08/07/2017