Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
RE OMB Questions regarding Helping to End Lead Poisoning package (0920-05AD).rtf	Justification for No Material/Nonsubstantive Change	Uploaded 0000-00-00	Available
6.8.2006 Lead NCEH Supporting Statement_Final.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43621	Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing	Instruction	Modified
179143	Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing	Instruction	New
179142	Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing	Instruction	New

ICR Details

OMB Control No: 0920-0732	ICR Reference No: 200703-0920-007
Status: Historical Inactive	Previous ICR Reference No: 200607-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/14/2007
	Date Received in OIRA: 03/21/2007
Terms of Clearance: Withdrawn per CDC request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2007	08/31/2007	08/31/2007
Responses	440	0	440
Time Burden (Hours)	45	0	45
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's National Center for Environmental Health is proposing a pilot study to obtain information that will be used to understand the barriers Medicaid providers face concerning childhood blood lead testing and to develop effective strategies that promote blood lead testing among Medicaid providers. Randomly sampled Medicaid providers in Wisconsin will participate through a mailed questionnaire process.

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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:
	Not associated with rulemaking

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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: 3

table that charts list of burden

IC Title	Form No.	Form Name
Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing
Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing
Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This change request is to increase the number of burden hours by 64, which were requested in the initial submission of the supporting statement. During the approval process with OMB changes were requested and due to an oversight the additional burden hours were not included in the final approval as requested.

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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: 03/21/2007

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