Supporting Statement B_TB homeless

Assessment of Local Health Departments’ Interventions to Address TB among Persons Experiencing Homelessness

OSTLTS Generic Information Collection Request

OMB No. 0920-0879

Supporting Statement – Section B

Submitted: August 5, 2013

Program Official/Project Officer

Sapna Bamrah Morris

Medical Officer

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)

Division of Tuberculosis Elimination

Surveillance, Epidemiology, and Outbreak Investigations Branch

1600 Clifton RD, MS E10, Atlanta, GA 30333

Phone: 404-639-8289

Fax: 404-639-8959

Email: [email protected]

Section B – Data Collection Procedures

1. Respondent Universe and Sampling Methods

The respondent universe will consist of TB control program staff from 220 local public health departments or their designees. These individuals represent 220 counties in 43 states and Puerto Rico (Attachment D). All counties that reported 15 or more TB cases and at least 1 case of TB in a person whose housing status was classified as homeless during 2009 through 2011 will be eligible to complete the data collection instrument. Rather than sampling, the entire universe of respondents will be sent a request to complete the data collection instrument. Eligible representatives include any public health staff member from the local health department who is responsible for TB care in that jurisdiction.

Table B-1: Potential Respondent Universe

Entity	Potential Respondent	N
Local (County) Public Health Department	TB Controller or designee	220
Total Universe of Potential Respondents		220

¹ Homeless is defined as having one of the following:

No fixed, regular, and adequate nighttime residence; primary nighttime residence was

publicly or privately operated shelter; institution that provides temporary residence;

building not designated for, or ordinarily used as, regular sleeping accommodation for human beings; or alternating between multiple residences.

2. Procedures for the Collection of Information

Data will be collected through web-based data collection instruments administered to the entire potential respondent universe. Eligible respondents include the County TB Controller or their designee representing 220 county TB programs in 43 states.

The TB controllers or their designees will be sent a data collection instrument. An advance email notification (see Attachment E) will be sent to all TB Controllers informing them of the planned data collection and announcing the dates the instrument will be administered. A second email will be sent with the data collection instrument attached along with instructions for completion (see Attachment F). The data collection tool will remain open for 10 business days to allow ample time for respondents to complete the data collection instrument. Reminders will be emailed on day 5 of data collection time period. A reminder will only be used for non-respondents (see Attachment G).

The data collection instrument will be administered one time. Data will be collected and stored in Surveymonkey@ software maintained by the project lead within DTBE as respondents submit their completed data collection instruments. Data will be transferred to Excel and SAS for conducting basic descriptive analyses and producing data charts and tables for reporting.

3. Methods to Maximize Response Rates and Deal with Non-response

An advance data collection notification email (Attachment E), data collection notification email (Attachment F) and a reminder by email (Attachment G) will be sent to each potential respondent to maximize response rates. Invitations to participate will stress the importance of partner participation to improve TB control among persons experiencing homelessness. The notification and emails will be sent by the CDC project officer to the potential respondents.

4. Test of Procedures or Methods to be Undertaken

The estimate for burden hours is based on a pilot test of the data collection instruments by 5 TB control program staff members or their designees. In the pilot test, the average time to complete the data collection instrument including time for reviewing instructions, gathering needed information and completing the data collection instrument, was approximately 15 minutes (8 minutes minimum, 20 minutes maximum). Based on these results, the estimated time range for actual respondents to complete the survey is 15-20 minutes. For the purposes of estimating burden hours, the upper limit of this range (i.e., 20 minutes) is used for completion of the data collection instrument.

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

The data collection instrument was designed by the project lead, an epidemiologist and the team lead of the Outbreak Investigations Team. The project lead will also collect and analyze the data. No other individuals were consulted on the statistical aspects or analysis of data from this sub-collection.

Sapna Morris, MD Sandy Althomsons, MPH

Medical Officer Epidemiologist

CDC/OID/NCHHSTP/DTBE/OIT CDC/OID/NCHHSTP/DTBE/OIT

Phone: 404.639.8289 Phone: 404.639.8022

Email: [email protected] Email: [email protected]

Krista Powell, MD, MPH

Team Lead, Medical Officer

CDC/OID/NCHHSTP/DTBE/OIT

Phone: 404.639.5337

Email: [email protected]

LIST OF ATTACHMENTS – Section B

Note: Attachments are included as separate files as instructed.

E. Advance Notification Email

F. Notification Email

G. Reminder (Email)

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