OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)

ICR 202001-0920-016 · OMB 0920-1264 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0920-1264_Change Request reimbursement_01 22 2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-01-27 Available
SSA WHNS _5_15_2019.docx Supporting Statement A Uploaded 2019-05-23 Available
Attachment J_Study Contact Information.docx Supplementary Document Uploaded 2019-02-07 Repair queued
Attachment I WHNS Study Invite Card.docx Supplementary Document Uploaded 2019-02-07 Repair queued
Att E CDC IRB approval WHNS.doc Supplementary Document Uploaded 2019-02-07 Repair queued
Att D_PIA WHNS (09-28-18).pdf Supplementary Document Uploaded 2019-02-07 Repair queued
Att C1_60 Day FRN.pdf Supplementary Document Uploaded 2019-02-07 Repair queued
Att B Advisory Panel Experts Consulted_11-13-2017.docx Supplementary Document Uploaded 2019-02-07 Available
Att A Authorizing Legislation - WHNS_PHS Act (42 USC 241).pdf Supplementary Document Uploaded 2019-02-07 Available
SS B_WHNS_5_15_2019.docx Supporting Statement B Uploaded 2019-05-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
234873 Women's Health Needs STUDY_QUESTIONNAIRE Other-WORD English translations Unchanged
234870 Women's Health Needs STUDY_SCREENER Other-WORD Unchanged
ICR Details
0920-1264 202001-0920-016
Historical Active 201812-0920-006
HHS/CDC 0920-20GT
Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/29/2020
Retrieve Notice of Action (NOA) 01/27/2020
  Inventory as of this Action Requested Previously Approved
05/31/2022 05/31/2022 05/31/2022
1,067 0 1,067
356 0 356
0 0 0
This study will assess the health characteristic, experiences, and needs of women living in the United States who have experienced Female Genital Mutilation/Cutting (FGM/C) or are at risk for FGM/C because they or their mothers were born in a country where FGM/C is prevalent. Using a venue-based and respondent-driven sampling method for recruiting hard-to-reach populations, women who are eligible and consent will be asked to complete a one-time survey. This is a request to increase the incentive amounts to improve participation rates.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  83 FR 12194 03/20/2018
84 FR 2509 02/07/2019
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 1,067 1,067 0 0 0 0
Annual Time Burden (Hours) 356 356 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a NEW collection request for a new OMB Control Number.
$261,019
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.
01/27/2020