Voluntary Product Satisfaction and Usability Assessment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 8. IRB.pdf	Supplementary Document	Uploaded 2010-01-06	Available
Attachment 7 Federal Register Notice 2008.pdf	Supplementary Document	Uploaded 2010-01-06	Available
Attachment 3 Question Bank Final.doc	Supplementary Document	Uploaded 2010-01-06	Available
Attachment 2 Title 42 Section 241 USC PHSA Sec 301.pdf	Supplementary Document	Uploaded 2010-01-06	Available
Attachment 1 Executive Order 12862.pdf	Supplementary Document	Uploaded 2010-01-06	Available
Supporting Statement Part A 11 12 09.doc	Supporting Statement A	Uploaded 2010-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191931	Child Maltreatment Surveillance (E-mail Assessment)	Other-Word	New
191930	Child Maltreatment Surveillance (Sample Web-based Assessment	Other-Word	New
191929	Response Card	Other-word	New

ICR Details

OMB Control No: 0920-0847	ICR Reference No: 201002-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Voluntary Product Satisfaction and Usability Assessment
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: 02/26/2010
	Date Received in OIRA: 02/02/2010
Terms of Clearance: This generic clearance for CDC/NCIPC Voluntary Product Satisfaction and Usability Assessment is approved under the following conditions: 1) CDC/NCIPC shall use the generic clearance to collect customer satisfaction data (via response cards and web-based surveys) where the agency seeks to gather information for general product improvement, not for publication or for the purpose of informing significant policy or resource allocation decisions. 2) Information collected will not include personally identifiable information such as name or address. 3) For individual response cards or web-based surveys, CDC/NCIPC shall submit a generic IC in ROCIS along with an abbreviated supporting statement. This statement shall include all relevant information, including a statement of need, intended use of information, description of respondents, information collection procedures, expected response rate, justification for incentive (if applicable), and estimated burden.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved
Responses	542,000	0	0
Time Burden (Hours)	90,333	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Center for Disease Control and Prevention's National Center for Injury Prevention and Control releases a number of new products each year to its customers, a diverse group that includes health care providers, researchers, public health practitioners, policy makers, and the general public. The term product is broadly defined to include publications, web pages, podcasts, e-cards, CD-ROMs, and videos. At present, there is no mechanism for evaluating whether these products are meeting customer needs. The proposed evaluation activities will focus on obtaining customer feedback in a number of areas. These include, but are not limited to, the accessibility of the product to a wide audience; the usefulness of the product in public health practice; and the overall quality of the product (appropriate content, organization, and visual appeal). Customer feedback obtained on a regular, on-going basis will help ensure that consumers find CDC products to be useful. Feedback will be used to continually assess and revise products so they better reflect the goals of CDC, the Department of Health and Human Services, and the United States Government. This type of evaluation will allow CDC to maximize the impact of its products which will ultimately benefit the public's health.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	74 FR 143	07/28/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 64086	12/07/2009
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
Child Maltreatment Surveillance (E-mail Assessment)
Response Card
Child Maltreatment Surveillance (Sample Web-based Assessment

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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	542,000	0	0	542,000	0	0
Annual Time Burden (Hours)	90,333	0	0	90,333	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 is a Generic information collection request

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Annual Cost to Federal Government: $38,044

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: 02/02/2010

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