OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Effective Communication in Public Health Emergencies – Developing Community-Centered Tools for People with Special Health Care Needs

ICR 201801-0920-006 · OMB 0920-1225 · Active

Forms and Documents
DocumentTypeStatusAvailability
Provider - Evaluation Focus Group Form and Instruction New Available
Health IT Professional - Focus Group Form and Instruction New Available
Emergency Response Organization - Focus Group Form and Instruction New Available
Provider Focus Group - ASD Form and Instruction New Available
Provider Focus Group - CYSHCN Form and Instruction New Available
Family/Caregiver Focus Group - CYSHCN and ASD Form and Instruction New Available
Family/Caregiver Interview - ASD Form and Instruction New Available
Family/Caregiver Interview - CYSHCN Form and Instruction New Available
Provider Study - ASD Form and Instruction New Available
Provider Survey - CYSHCN Form and Instruction New Available
Family/Caregiver - ASD Form and Instruction New Available
Family/Caregiver Survey - CYSHCN Form and Instruction New Available
Attachment Z. Recruitment Email for Message Testing.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment Y. Recruitment Email for Provider Focus Groups.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment X. Recruitment Email for Families_Caregivers Interviews.docx Supplementary Document Uploaded 2018-03-02 Repair queued
Attachment W. Study Fact Sheet for Families_Caregivers.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment V. Pre-Interview Survey.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment I. Drexel IRB Approval Letter.pdf Supplementary Document Uploaded 2018-03-02 Available
Attachment G. Assent Form.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment F. 502 Consent Document for Qualitiative Tools.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment E. Consent and Recruitment Email for ASD Patient and Provider Survey.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment D. Consent and Recruitment Email for CYSHCN Provider Survey.docx Supplementary Document Uploaded 2018-03-02 Available
Attachment C. Consent and Recruitment Email for CYSHCN Families_Caregivers Survey.docx Supplementary Document Uploaded 2018-03-02 Available
AttCe-CDC Response to Public Comment 2.docx Supplementary Document Uploaded 2018-03-02 Available
AttCd-CDC Response to Public Comment 1.docx Supplementary Document Uploaded 2018-03-02 Available
AttCb-PublicComment2.pdf Supplementary Document Uploaded 2018-03-02 Available
AttCa-PublicComment1.txt Supplementary Document Uploaded 2018-03-02 Available
Attachment B. Published 60 Day FRN CDC-2017-0071-0001.pdf Supplementary Document Uploaded 2018-03-02 Available
Attachment A. Authorizing Legislation.docx Supplementary Document Uploaded 2018-03-02 Available
EffectiveCommSSBv2.docx Supporting Statement B Uploaded 2018-03-01 Available
EffectiveComm-SSA 19APR2018.docx Supporting Statement A Uploaded 2018-04-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
230326 Provider - Evaluation Focus Group Form and Instruction New
230325 Health IT Professional - Focus Group Form and Instruction New
230324 Emergency Response Organization - Focus Group Form and Instruction New
230322 Provider Focus Group - ASD Form and Instruction New
230321 Provider Focus Group - CYSHCN Form and Instruction New
230320 Family/Caregiver Focus Group - CYSHCN and ASD Form and Instruction New
230319 Family/Caregiver Interview - ASD Form and Instruction New
230317 Family/Caregiver Interview - CYSHCN Form and Instruction New
230315 Provider Study - ASD Form and Instruction New
230314 Provider Survey - CYSHCN Form and Instruction New
230312 Family/Caregiver - ASD Form and Instruction New
230311 Family/Caregiver Survey - CYSHCN Form and Instruction New
ICR Details
0920-1225 201801-0920-006
Active
HHS/CDC 0920-17AYG
Effective Communication in Public Health Emergencies – Developing Community-Centered Tools for People with Special Health Care Needs
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/20/2018
Retrieve Notice of Action (NOA) 03/02/2018
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved
930 0 0
419 0 0
0 0 0
Children and youth with special health care needs and individuals with autism spectrum disorders have unique disaster communication needs, and often rely on health care and other professional providers for information during emergencies. The proposed study will conduct surveys, interviews and focus groups with families as well as provider communities and emergency response agencies, to identify the disaster communication needs of families with children and youth with special health care needs (CYSHCN) and families and individuals with autism spectrum disorders (ASD). Results will be used to develop communication tools, protocols and messages that can be used to improve the outcomes of these families after disasters.
US Code: 42 USC 241 Name of Law: U.S. PHSA
  
None
Not associated with rulemaking
  82 FR 43984 09/20/2017
83 FR 8872 03/01/2018
Yes
  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 930 0 0 930 0 0
Annual Time Burden (Hours) 419 0 0 419 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-17AYG - Effective Communication in Public Health Emergencies – Developing Community-Centered Tools for People with Special Health Care Needs is a New ICR.
$382,619
Yes Part B of Supporting Statement
    Yes
    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.
03/02/2018