OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics

ICR 201810-0920-003 · OMB 0920-0969 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Survey of non-Title X Clinic Administrators Form Modified Available
Survey of Title X Clinic Administrators Form Modified Repair queued
Survey of non-Title X Clinic Providers Form Modified Available
Survey of Title X Clinic Providers Form Modified Repair queued
Survey of Office-based Physicians in Private Sector Form Modified Repair queued
Att K-1 References.pdf Supplementary Document Uploaded 2018-10-04 Available
Att J-2 IRB Non-research Determination.pdf Supplementary Document Uploaded 2018-10-04 Available
Att J-1 Signed Privacy Impact Assessment.pdf Supplementary Document Uploaded 2018-10-04 Available
Att I-3 Public-sector Follow-up Cover Letter for Administrator Survey.doc Supplementary Document Uploaded 2018-10-04 Repair queued
Att I-2 Public-sector Follow-up Cover Letter for Provider Survey.doc Supplementary Document Uploaded 2018-10-04 Repair queued
Att I-1 Private-sector Follow-up Cover Letter.doc Supplementary Document Uploaded 2018-10-04 Available
Att H-1 Email to Private-sector Physician Non-Respondents.doc Supplementary Document Uploaded 2018-10-04 Available
Att G-3 Public-sector Reminder Postcard for Administrator Survey.doc Supplementary Document Uploaded 2018-10-04 Available
Att G-2 Public-sector Reminder Postcard for Provider Survey.doc Supplementary Document Uploaded 2018-10-04 Repair queued
Att G-1 Private-sector Reminder Postcard for Provider Survey.doc Supplementary Document Uploaded 2018-10-04 Available
Att D-2 Public Sector Cover Letter.doc Supplementary Document Uploaded 2018-10-04 Available
Att D-1 Private Sector Cover Letter.doc Supplementary Document Uploaded 2018-10-04 Available
Att C-2 Summary of Comments.pdf Supplementary Document Uploaded 2018-10-04 Available
Att C-1 60-day FRN.pdf Supplementary Document Uploaded 2018-10-04 Available
Att B-1 Summary of Survey Constructs.docx Supplementary Document Uploaded 2018-10-04 Available
Att A-1 Auth_Leg_Publ_Hlth_Svc_Act.doc Supplementary Document Uploaded 2018-10-04 Repair queued
SS B Reinstatement 0920-0969.docx Supporting Statement B Uploaded 2018-10-04 Available
SS A Reinstatement 0920-0969.docx Supporting Statement A Uploaded 2018-10-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
203904 Survey of non-Title X Clinic Administrators Form Modified
203903 Survey of Title X Clinic Administrators Form Modified
203902 Survey of non-Title X Clinic Providers Form Modified
203901 Survey of Title X Clinic Providers Form Modified
203900 Survey of Office-based Physicians in Private Sector Form Modified
ICR Details
0920-0969 201810-0920-003
Historical Active 201303-0920-005
HHS/CDC 0920-0969
Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/03/2018
Retrieve Notice of Action (NOA) 11/01/2018
  Inventory as of this Action Requested Previously Approved
12/31/2019 12 Months From Approved
5,000 0 0
1,916 0 0
105,390 0 0
CDC plans to collect information from office-based physicians and public-section family planning providers and clinic administrators through mailed surveys to monitor changes in provider and clinic attitudes and practices among family planning providers in the US related to recommendations included in national contraceptive guidelines and assess changes from previous data collections carried out prior to publication or soon after release of these guidelines. Findings will be used to identify targeted training needs in use of guidance and family planning service delivery.
US Code: 42 USC 301 Name of Law: PHSA
  
None
Not associated with rulemaking
  83 FR 26687 06/08/2018
83 FR 54928 11/01/2018
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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 1,916 0 0 1,916 0 0
Annual Cost Burden (Dollars) 105,390 0 0 105,390 0 0
Yes
Miscellaneous Actions
No
The surveys will change slightly to eliminate unnecessary questions, add new questions of interest, modify response options, and improve formatting to skip patterns. There is a reduction in burden due to fewer respondents due to anticipated non-response and shorter survey response time.
$970,644
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [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.
11/01/2018