OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

The World Trade Center Health Program: Impact Assessment and Strategic Planning for Translational Research (Part 1, Formative Research: Focus Groups)

ICR 201811-0920-004 · OMB 0920-1252 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
WTCHP Responders and Survivors (private citizens) Form and Instruction New Available
WTCHP Respondenders and Survivors (State and Local Govt) Form and Instruction New Available
Clinicians Caring for WTCHP Members Form and Instruction New Available
WTC Health Registry Staff Form and Instruction New Available
WTC Leadership Form and Instruction New Available
WTC Principal Investigators Form and Instruction New Repair queued
SSA_12032018.docx Supporting Statement A Uploaded 2018-12-03 Available
Att I_PIA (11-6-2018).pdf Supplementary Document Uploaded 2018-11-20 Available
Att H_NIOSH IRB.pdf Supplementary Document Uploaded 2018-11-20 Available
Att F_RAND IRB determination_2018-1-14.pdf Supplementary Document Uploaded 2018-11-20 Available
Att E_Recruitment Emails_2018-11-14.docx Supplementary Document Uploaded 2018-11-20 Available
Att C_Consent Form_2018-11-14 - CLEAN.docx Supplementary Document Uploaded 2018-11-20 Available
Att B_0920-18PR 60-day FRN.pdf Supplementary Document Uploaded 2018-11-20 Available
Att A_Legislation_2018-11-14.docx Supplementary Document Uploaded 2018-11-20 Available
SSB RAND revisions 2018-11-20.docx Supporting Statement B Uploaded 2018-11-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
234104 WTCHP Responders and Survivors (private citizens) Form and Instruction New
234103 WTCHP Respondenders and Survivors (State and Local Govt) Form and Instruction New
234102 Clinicians Caring for WTCHP Members Form and Instruction New
234101 WTC Health Registry Staff Form and Instruction New
234100 WTC Leadership Form and Instruction New
234099 WTC Principal Investigators Form and Instruction New
ICR Details
0920-1252 201811-0920-004
Historical Active
HHS/CDC 0920-18PR
The World Trade Center Health Program: Impact Assessment and Strategic Planning for Translational Research (Part 1, Formative Research: Focus Groups)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/01/2019
Retrieve Notice of Action (NOA) 12/11/2018
  Inventory as of this Action Requested Previously Approved
03/31/2022 36 Months From Approved
110 0 0
220 0 0
7,044 0 0
The World Trade Center Health Program (WTCHP) was established by the James Zadroga 9/11 Health and Compensation Act of 2010. The Zadroga Act requires the establishment of a research program on health conditions resulting from the 9/11 terrorist attacks. The ability of the WTCHP to serve its members and realize positive impacts on all of its stakeholders depends on effective translation of research activities and findings in a manner that is appropriate to diverse stakeholder groups, including investigators of WTCHP-funded research, the leadership of the WTC Clinical Centers of Excellence, WTC Health Registry staff, clinicians who provide medical services to responders and survivors, and WTCHP respondents and survivors. The focus groups proposed for this work will provide information on stakeholder views about three important translational science principles: the relevance, transparency, and usability of WTCHP research. Findings will provide guidance for the WTCHP on strategic directions, as well as produce generalizable knowledge about the translation of research into improved outcomes for individuals and populations exposed to disasters such as the 9/11 attacks.
US Code: 42 USC 6A, Subchapter XXXI Name of Law: World Trade Center Health Program
  
None
Not associated with rulemaking
  83 FR 11535 03/15/2018
83 FR 63515 12/10/2018
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 110 0 0 110 0 0
Annual Time Burden (Hours) 220 0 0 220 0 0
Annual Cost Burden (Dollars) 7,044 0 0 7,044 0 0
Yes
Miscellaneous Actions
No
This is a new collection.
$32,887
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Renita Macaluso 770 488-6458 [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.
12/11/2018