OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NCBDDD] Assessing Knowledge, Attitudes, and Practices (KAPs) of Hispanic or Latina Women of Reproductive Age about Folic Acid Fortification and Supplementation

ICR 202311-0920-006 · OMB 0920-1427 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-23AX Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide Form and Instruction New Missing upstream
Attachment 42. Reminder Phone Script Voicemail & Text Message Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 41. Reminder Phone Script Voicemail & Text Message English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 40. Reminder Email Spanish.docx Supplementary Document Uploaded 2023-11-09 Missing upstream
Attachment 39. Reminder Email English.docx Supplementary Document Uploaded 2023-11-09 Missing upstream
Attachment 38. Screenshots of Online Consent Form - Spanish_202310.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 37. Screenshots of Online Consent Form - English_202310.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 36. Screenshots of Screener – Spanish_202310.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 35. Screenshots of Screener – English_202310.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 34. Social Media Advertisements (English and Spanish).docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 33. Flyer (English and Spanish).docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 32. Visual Aids.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 31. Moderator Guide Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 30. Moderator Guide English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
5. Suporting Statement A_KAPs_102423_updated 11092023.docx Supporting Statement A Uploaded 2023-11-09 Repair queued
Attachment 29. Consent Form Spanish_8.9.23.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 28. Consent Form English_10.23.23.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 27. Frequently Asked Questions (FAQ)_Landing Page Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 26. Frequently Asked Questions (FAQ)_Landing Page English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 25. Thank You Letter_Email Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 24. Thank You Letter_Email English.docx Supplementary Document Uploaded 2023-11-09 Missing upstream
Attachment 23. Telephone Script Screener Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 22. Telephone Script Screener English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 21. Online Screener Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 20. Online Screener English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 19. Confirmation Email Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 18. Confirmation Email English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 17. Scheduling Email Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 16. Scheduling Email English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 15. Email to Community Based Organizations Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 14. Email to Community Based Organizations English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 13. Final Follow-up Invitation Email_Letter Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 09. Invitation Email_Letter _Spanish.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 12. Final Follow-up Invitation Email_Letter English.docx Supplementary Document Uploaded 2023-11-09 Available
Attachment 10. Follow-up Invitation Email_Letter _English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 11. Follow-up Invitation Email_Letter _Spanish.docx Supplementary Document Uploaded 2023-11-09 Missing upstream
Attachment 08. Invitation Email_Letter _English.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 07. References.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 06. KAP PIA updates 10102023 CPO signed.pdf Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 05. Research Determination.pdf Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 04. Public Comments.docx Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 03. IRB Approval Letter.pdf Supplementary Document Uploaded 2023-11-09 Repair queued
Attachment 01. Auth Legislation.pdf Supplementary Document Uploaded 2023-11-09 Repair queued
1. FRN_Publication_Request_Worksheet_KAPs Project_30day.pdf Justification for No Material/Nonsubstantive Change Uploaded 2023-11-09 Repair queued
6. Suporting Statement B_KAPs_092023.docx Supporting Statement B Uploaded 2023-11-09 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
263294 Knowledge, Attitudes, and Practices (KAPs) of Hispanic/Latina Women of Reproductive Age: Focus Group Interview Guide Form and Instruction New
ICR Details
202311-0920-006
Received in OIRA
HHS/CDC 0920-23AX
[NCBDDD] Assessing Knowledge, Attitudes, and Practices (KAPs) of Hispanic or Latina Women of Reproductive Age about Folic Acid Fortification and Supplementation
New collection (Request for a new OMB Control Number)   No
Regular 11/14/2023
  Requested Previously Approved
36 Months From Approved
81 0
121 0
0 0
The purpose of this project is to conduct formative research with Hispanic/Latina women of reproductive age to examine folic acid and fortified food awareness, food and supplement use practices, as well as messaging and channels to reach Hispanic/Latina women. The resulting data are expected to be used for developing new messaging and communication products to improve knowledge, awareness, and practices regarding folic acid fortification and supplementation among Hispanic/Latina women of reproductive age.
None
None
Not associated with rulemaking
  87 FR 71329 11/22/2022
88 FR 75594 11/03/2023
No
  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 81 0 0 81 0 0
Annual Time Burden (Hours) 121 0 0 121 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The annualized burden for this new 3-year approval includes 121.5 burden hours.
$346,502
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.
11/14/2023