Evaluation of Office on Women's Health Publications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Breastfeeding Demographic Survey	Form	New	Available
Form 1 Teen Guide Survey	Form	New	Available
Form 1 Good Health Survey	Form	New	Available
Form 1 Breastfeeding Guide Survey	Form	New	Available
Form 1 Breastfeeding Discussion Group Guide	Form and Instruction	New	Available
0990-EvaluationWomensHealthPublication.doc	Supporting Statement B	Uploaded 2007-07-13	Available
OMB clearance supporting statement - Evaluation of OWH Publications 102207.doc	Supporting Statement A	Uploaded 2007-12-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181303	Discussion group Demographic Survey	Form	New	Breastfeeding Demographic Survey
181303	Discussion group Demographic Survey	Other-Survey	New
181302	Teen Survival Guide Survey	Form	New	Teen Guide Survey
181302	Teen Survival Guide Survey	Other-survey	New
181301	Lifetime of Good Health Survey	Form	New	Good Health Survey
181301	Lifetime of Good Health Survey	Other-survey	New
181300	Easy Guide to Breastfeeding Survey	Form	New	Breastfeeding Guide Survey
181300	Easy Guide to Breastfeeding Survey	Other-survey	New
181299	Evaluation of Office of Women's Publications -Breastfeeding Discussion Group	Form and Instruction	New	Breastfeeding Discussion Group Guide
181299	Evaluation of Office of Women's Publications -Breastfeeding Discussion Group	Other-Survey	New

ICR Details

OMB Control No: 0990-0319	ICR Reference No: 200707-0990-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluation of Office on Women's Health Publications
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: 12/19/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/25/2007
Terms of Clearance: Approved consistent with HHS revisions to the proposed collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved
Responses	6,759	0	0
Time Burden (Hours)	1,740	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: To improve future publications and to demonstrate accountability of efforts, OWH will evaluate four health communication materials. The evaluation will highlight the extent to which materials are being used and how effective they are in positively impacting change in knowledge, attitude, and behavior, regarding women's health. Discussion groups and web-based or paper-based surveys will be used to collect data from radomly selected participants from returned response cards.

---

Authorizing Statute(s): US Code: 42 USC 306 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 55201	09/21/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 71169	12/08/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Discussion group Demographic Survey	1	Breastfeeding Demographic Survey
Easy Guide to Breastfeeding Survey	1	Breastfeeding Guide Survey
Evaluation of Office of Women's Publications -Breastfeeding Discussion Group	1	Breastfeeding Discussion Group Guide
Lifetime of Good Health Survey	1	Good Health Survey
Teen Survival Guide Survey	1	Teen Guide Survey

---

ICR Summary of Burden

table that charts list 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	6,759	0	0	6,759	0	0
Annual Time Burden (Hours)	1,740	0	0	1,740	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: NEW PROGRAM

---

Annual Cost to Federal Government: $187,510

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

---

Common Form ICR:  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:

(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: 07/25/2007

---