The ZPER study will assess utilization of Zika virus prevention strategies and resource needs of pregnant and postpartum women, and newborn infants in Puerto Rico. A hospital-based survey of mothers and fathers will obtain information on the prenatal period. A follow-up telephone survey period will assess ongoing needs of mothers and infants in the postpartum period. This Change Request is to modify a subset of existing questions to assess the impact and available resources for pregnant and postpartum women and infants in relation to recent hurricanes in addition to Zika.The study will continue to collect data that was initially approved as 0920-1199.
US Code:
42 USC 241
Name of Law: U.S. Public Health Service Act
Non-Substantive Change Request to approved 0920-1199 collection adds a new version of Telephone Follow-Up survey and reduces the number of Respondents due to disruption from Hurricanes Irma and Maria.
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.
Form 0920-1199 Telephone Follow-Up Survey (New Version)
PRAMS-ZPER (1199) Change Request_122117docx_Clean.docx
Att 3h - Hospital based FATHER-PARTNER ASSENT (SPANISH).doc
Att 2 - 60-Day FRN.pdf
Telephone Follow-Up Survey (New Version)