Trends in U.S. Public's Awareness of Racial and Ethnic Heatlh Disparities (1999- 2008)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Trends in U.S. Public's Awareness.doc	Supporting Statement B	Uploaded 2008-07-17	Repair queued
0990-Trends in the USAttachment R_Summary of Revisions.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment P-2 _NewItems_PhysicianPop.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment M-4_followUpPhone.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment M-3_followUpLet.docm	Supplementary Document	Uploaded 2008-08-08	Repair queued
0990-Trends in the USAttachment M-2_CoverLetQuest.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment M-1_PreNotLetter.docm	Supplementary Document	Uploaded 2008-08-08	Repair queued
0990-Trends in USAttachment K_InterviewScripts.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment J_1999ItemsEXCLUDED.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment H_PilotTestReport.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment E-2_Crosswalk of Revisions_physician population.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment A_PlanMeasure.docm	Supplementary Document	Uploaded 2008-08-08	Repair queued
0990-Trends in the USAttachment D_KFF Instrument.pdf	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment N_FAQ.doc	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment O_PowerPrecision.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment L_researchQuestions_Analysis.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment E-1_Crosswalk of Revisions_general population.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Trends in the USAttachment P-1_NewItems_GP.docm	Supplementary Document	Uploaded 2008-08-08	Available
0990-Revised Trends in the US PartA B_8 7 (2).doc	Supporting Statement A	Uploaded 2008-08-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186437	Physician	Other-Survey	New
186436	General Population	Other-Questionnaire	New

ICR Details

OMB Control No: 0990-0335	ICR Reference No: 200809-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Trends in U.S. Public's Awareness of Racial and Ethnic Heatlh Disparities (1999- 2008)
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 without change	Conclusion Date: 03/16/2009
	Date Received in OIRA: 09/04/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved
Responses	4,460	0	0
Time Burden (Hours)	1,041	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Involves replicating a survey fielded in 1999 measuring the U.S. public's awareness of racial and ethnic health disparities. The trend data and findings could be used by program decision-makers and policy-makers interested in capturing progress made in the last 8 years after exposing the U.S. population to information on the existence and societal effects of racial and ethnic health disparities.

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Authorizing Statute(s): US Code: 42 USC 300u-6a Name of Law: Public Health Service Act
  

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:
	73 FR 31689	06/03/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 49674	08/22/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
General Population
Physician

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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	4,460	0	0	4,460	0	0
Annual Time Burden (Hours)	1,041	0	0	1,041	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: This a new data collection.

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Annual Cost to Federal Government: $549,000

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: 09/04/2008

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