Asthma Education Study: Making Health Care Providers Better Asthma Educators

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Asthma Ed SS PartB_111711.docx	Supporting Statement B	Uploaded 2011-12-19	Available
Asthma Ed_Att 11_References_111711.doc	Supplementary Document	Uploaded 2011-12-19	Available
Asthma Ed_Att 9_IRB approvals_111711.doc	Supplementary Document	Uploaded 2011-12-19	Available
Asthma Ed_ Att 2_60 day FRN_111711.doc	Supplementary Document	Uploaded 2011-12-19	Available
Asthma Ed_ Att 1-Autho Leg_111711.doc	Supplementary Document	Uploaded 2011-12-19	Available
0920-AsthmaEd_ Att 8. Informed Nurses.docx	Supplementary Document	Uploaded 2012-05-01	Available
0920-AsthmaEd_Att 7. Informed Phys.docx	Supplementary Document	Uploaded 2012-05-01	Available
0920-AsthmaEd_SS Part A. 042712.docx	Supporting Statement A	Uploaded 2012-05-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200675	Moderator's guide for Focus Groups with Nurses	Other-WORD	New
200674	Moderator's Guide for In-depth Interviews of Physicians	Other-WORD	New
200673	Nurse Screener	Other-(Word)	New
200672	Physician Screener	Other-(Word)	New

ICR Details

OMB Control No: 0920-0933	ICR Reference No: 201201-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Asthma Education Study: Making Health Care Providers Better Asthma Educators
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: 05/07/2012
	Date Received in OIRA: 01/03/2012
Terms of Clearance: As discussed during review of the ICR, CDC will report to OMB any difficulties in recruitment that it believes are the result of the incentive level. If there is evidence to support an adjustment to the offered incentive, CDC and OMB will discuss as necessary.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved
Responses	96	0	0
Time Burden (Hours)	40	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Close to 25 million Americans currently suffer with asthma, with 12 million experiencing an asthma "attack" in 2009, costing the nation $56 billion and individuals on average over $3,200 annually in direct and indirect costs. Improved self-management education, consistent with the National Asthma Education and Prevention Program (of the National Heart, Lung, and Blood Institute) Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (2007) for enhancing education of persons with asthma in the areas of correct medication adherence and avoidance of environmental triggers of asthma attacks, is central to reducing the health and financial burden on individuals and the nation. This research is an important step in improving the education individuals with asthma (or parents of children with asthma) receive at their initial diagnosis encounter with the medical system.

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Authorizing Statute(s): None

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:
	75 FR 68358	11/05/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78925	12/20/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Physician Screener
Moderator's Guide for In-depth Interviews of Physicians
Nurse Screener
Moderator's guide for Focus Groups with Nurses

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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	96	0	0	96	0	0
Annual Time Burden (Hours)	40	0	0	40	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 new information collection.

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Annual Cost to Federal Government: $110,250

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? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 01/03/2012

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