Second Injury Control and Risk Survey (ICARIS-2), Phase-2

Forms and Documents

Document Name	Status
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction	Modified
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction	New
CDC Memo.doc Supplementary Document	2007-01-23
ICARIS2 Phase2 SS 07-13-2006 Part B clean.doc Supporting Statement B	2006-08-14
Cover-Note-ICARIS2-Phase2-Submission.doc Supplementary Document	2006-08-14
Att#5-Battelle-IRB-Approval-07Nov2005.pdf Supplementary Document	2006-08-14
Att#4-CDC-IRB-Approval-Amended-Phase2-Oct2005.doc Supplementary Document	2006-08-14
Att#3-60dayFRN ICARIS 2.pdf Supplementary Document	2006-08-14
Att#1-Phase2-PHSAct-Sects301-and-391.doc Supplementary Document	2006-08-14
ICARIS2 Phase2 SS 07-13-2006 Part A clean.doc Supporting Statement A	2006-08-14

IC Document Collections

IC ID	Document Title	Status
6958	Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction	Modified
45315	Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
45314	Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
45313	Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
45312	Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction	New
45311	Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction	New

ICR Details

OMB Control No: 0920-0513	ICR Reference No: 200609-0920-003
Status: Historical Active	Previous ICR Reference No: 200104-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Second Injury Control and Risk Survey (ICARIS-2), Phase-2
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/23/2007
	Date Received in OIRA: 09/20/2006
Terms of Clearance: Approved consistent with CDC memo submitted to OMB clarifying that CDC will remove the willingness to pay (WTP) sub-study from this clearance request and revise the WTP study to address OMB questions and comments. If CDC resubmits a separate revised package for the WTP study OMB will waive the 60 day comment period for resubmission. Regarding non-response bias analysis, CDC shall report to OMB on the results of its non-response analysis upon conclusion of this clearance period.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2009	24 Months From Approved
Responses	4,725	0	0
Time Burden (Hours)	620	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The magnitude of the injury problem is such that a dedicated means of collecting national data is needed. The data collected from this survey will allow CDC to measure the prevalence of risk factors for injury, define populations most at risk, allow the tracking and monitoring of several Healthy People 2010 Objectives, and monitor the impact of interventions for injury prevention and control.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and investigations generally
   US Code: 42 USC 391 Name of Law: Part J - Prevention and Contorl of Injuries Research
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 71162	11/25/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 43157	07/31/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Second Injury Control and Risk Survey (ICARIS-2), Phase 2	none assigned	Att 2 - Data collection Instrument for ICARIS-2 (Phase-2)
Second Injury Control and Risk Survey (ICARIS-2), Phase 2	none assigned, none assigned	Second Injury Control and Risk Survey ICARIS-2 (Phase-2) ,   Second Injury Control and Risk Survey ICARIS-2 (Phase-2)
Second Injury Control and Risk Survey (ICARIS-2), Phase-2	none assigned	Second Injury Control and Risk Survey ICARIS-2 (Phase-2)
Second Injury Control and Risk Survey (ICARIS-2), Phase-2	none assigned	Second Injury Control and Risk Survey ICARIS-2 (Phase-2)
Second Injury Control and Risk Survey (ICARIS-2), Phase-2	none assigned	Second Injury Control and Risk Survey ICARIS-2 (Phase-2)
Second Injury Control and Risk Survey (ICARIS-2), Phase-2	none assigned	Second Injury Control and Risk Survey ICARIS-2 (Phase-2)

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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	4,725	0	0	-3,775	0	8,500
Annual Time Burden (Hours)	620	0	0	-5,277	0	5,897
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: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The ICARIS-2 Phase-2 (0920-0513) OMB package was initially submitted in September of 2003. The submission was suspended in January of 2004 due to problems with the interviewing scheduler process for the ICARIS-2 (Phase-1) survey. The problem was discovered some time after completion of the Phase-1 component of the survey in February of 2003. The suspension was based on the rationale that Phase-2 could not begin until problems with the administration of the initial ICARIS-2 survey had been resolved. At the time of suspension, the OMB package for ICARIS-2 Phase-2 was close to being cleared. The project is resubmitted now in order to continue as intended before. However, because the previous iteration of the project is no longer active, there is no current OMB inventory for this project, making the proposed burden of 620 hours an increase from the present 0 hours.

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Annual Cost to Federal Government: $344,455

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 08/25/2006

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