OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NIOSH] Evaluation of Healthcare Worker Mental Health Campaign

ICR 202308-0920-003 · OMB 0920-1415 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Hospital Leader - Follow-Up Survey Form and Instruction New Repair queued
Healthcare Worker - Follow-Up Survey Form and Instruction New Missing upstream
2b Responses to Federal Register Notice.docx Supplementary Document Uploaded 2023-08-03 Repair queued
6 Invitation and Reminder Emails.docx Supplementary Document Uploaded 2023-08-03 Repair queued
3 Non-Research Determination.pdf Supplementary Document Uploaded 2023-08-03 Repair queued
2a Federal Register Notice.pdf Supplementary Document Uploaded 2023-08-03 Missing upstream
1b Dr. Lorna Breen Health Care Provider Protection Act.pdf Supplementary Document Uploaded 2023-08-03 Repair queued
1a H.R.1319 American Rescue Plan Act of 2021.pdf Supplementary Document Uploaded 2023-08-03 Repair queued
Supporting Statement B_NIOSH Health Worker MH Campaign_2.16.23.docx Supporting Statement B Uploaded 2023-08-03 Repair queued
Supporting Statement A_NIOSH Health Worker MH Campaign_2.16.22.docx Supporting Statement A Uploaded 2023-08-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
261471 Hospital Leader - Follow-Up Survey Form and Instruction New
261470 Healthcare Worker - Follow-Up Survey Form and Instruction New
ICR Details
202308-0920-003
Received in OIRA
HHS/CDC 0920-22IU
[NIOSH] Evaluation of Healthcare Worker Mental Health Campaign
New collection (Request for a new OMB Control Number)   No
Regular 08/08/2023
  Requested Previously Approved
12 Months From Approved
14,000 0
2,333 0
7,508 0
Proposed study is designed to collect quantitative data to document outcomes of a social marketing campaign to improve the mental health and well-being of healthcare workers (e.g., mental health help seeking, modifications to working conditions, and healthcare worker well-being). Data generated through this information request will inform future campaign efforts that aim to reach healthcare workers and their employers and share findings to advance the health communications, mental health, and occupational health and safety fields. CDC requests OMB approval to collect information from 14,000 respondents for an estimated 2,333 burden hours, annually.
PL: Pub.L. 117 - 2 1-11006 Name of Law: American Rescue Plan Act of 2021
   PL: Pub.L. 117 - 105 1-5 Name of Law: Dr. Lorna Breen Health Care Provider Protection Act
  
None
Not associated with rulemaking
  87 FR 56593 09/16/2022
88 FR 24800 04/24/2023
Yes
  Total Request 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 14,000 0 0 14,000 0 0
Annual Time Burden (Hours) 2,333 0 0 2,333 0 0
Annual Cost Burden (Dollars) 7,508 0 0 7,508 0 0
Yes
Miscellaneous Actions
No
This is a New ICR submitted by NIOSH requesting approval for an estimated 2333 annual burden hours.
$473,878
No
    No
    No
No
No
No
No
Odion Clunis 770 488-0045 [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.
08/08/2023