Testing and Development of Materials Promoting Prevention and Control of Traumatic Brain Injury in Schools

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Interview Guide	Form and Instruction	Modified	Repair queued
Form 2 Moderator's Guide	Form and Instruction	Modified	Available
Form 1 Screener Document	Form and Instruction	Modified	Available
Proposed Modifications to OMB No. 0920-0811.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2009-08-20	Available
Attachment 3- Moderators Guide for In-Depth Interview for Nurses Counselors and Teachers 09-0811.final.doc	Supplementary Document	Uploaded 2009-08-20	Available
Attachment 2- Screener Instrument for Nurses_Counselors_Teachers_Administrators 09-0811.final.doc	Supplementary Document	Uploaded 2009-08-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
188041	Interview Guide	Form and Instruction	Modified
188040	Moderator's Guide	Form and Instruction	Modified
188039	Screener Document	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0811	ICR Reference No: 200908-0920-004
Status: Historical Active	Previous ICR Reference No: 200902-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Testing and Development of Materials Promoting Prevention and Control of Traumatic Brain Injury in Schools
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: Approved without change	Conclusion Date: 10/02/2009
	Date Received in OIRA: 08/31/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	05/31/2010	05/31/2010
Responses	141	0	141
Time Burden (Hours)	61	0	61
Cost Burden (Dollars)	0	0	0

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Abstract: The Center for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control conducts research to improve injury care and monitors and communicates injury information. One area they focus on is educating the public about the prevention and recognition of traumatic brain injury (TBI). Based on findings from literature reviews and phone interviews, CDC has identified a lack of awareness of TBI among school professionals. As a result, CDC plans to conduct formative research with school nurses, counselors, psychologists, and administrators. This formative research includes up to 45, 60-minute interviews that will gather information about school professionals' opinions about TBI materials. In addition to gathering this information, CDC plans to ask respondents where and how they get health information, and whether they would disseminate this information.

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Authorizing Statute(s): PL: Pub.L. 42 - 241 301 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

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
Screener Document	1	In-Depth Interview Screener
Moderator's Guide	2	Interview Guide: Concept Testing for TBI Education Materials (Interviews with School Health Professionals)
Interview Guide	3	Interview: Concept Testing for TBI Education Materials (Interviews with School Administrators)

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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	141	141	0	0	0	0
Annual Time Burden (Hours)	61	61	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $52,685

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)? No

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: 08/31/2009

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