Development and Testing of a Tool to Assess the Pubic's Perception About People with Epilepsy

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
7011	Development and Testing of a Tool to Assess the Pubic's Perception About People with Epilepsy	Migrated

ICR Details

OMB Control No: 0920-0558	ICR Reference No: 200206-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Development and Testing of a Tool to Assess the Pubic's Perception About People with Epilepsy
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/09/2002
	Date Received in OIRA: 06/07/2002
Terms of Clearance: Approved with changes and revised forms consistent with CDC memos of 07/31/02 and 08/05/02. CDC is reminded to submit collections of information involving ten or more persons to OMB for approval, including collections that are intended to inform instrument development, in accordance with 5 CFR Part 1320. As per OMB and CDC conference call on 08/07/02, CDC will submit to OMB a report of response rates when the collection is completed. If response rates are below 80%, CDC will not report or publish estimates of the public's perception about people with epilepsy; CDC will only implement the information collection to develop a valid and reliable measurement tool to assess the public's perception. If response rates are 80% or higher, CDC will ensure that groups have sufficient statistical power to make comparisons. CDC will implement a stratified or simple random sampling method to select participants. CDC will not impose quotas on demographic groups.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2003	08/31/2003
Responses	1,870	0	0
Time Burden (Hours)	247	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this project is to develop a valid and reliable measurement tool to assess the public's perception of epilepsy and seizure disorders. This tool may shed light on the challenges in the social environment confornted by people with epilepsy and by their care givers. It will help gauge the climate of the general public toward people with epilepsy and guide future epilepsy interventions. An instrument has been developed which will be sicentifically tested for reliability and validity. This instrument will provide a thorough understanding of the general public's awareness level of.......

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Development and Testing of a Tool to Assess the Pubic's Perception About People with Epilepsy

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ICR Summary of Burden

	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	1,870	0	0	1,870	0	0
Annual Time Burden (Hours)	247	0	0	247	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/07/2002

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