Communication Research on Folic Acid

Forms and Documents

Document Name	Status
Focus Group Moderators' Guide Form	Modified
Screener Form	Modified
Supporting Statement B_FolicAcidDEC8REVISEDFINALcleancopy.doc Supporting Statement B	2012-01-23
FolicAcid_IncentiveJustification (092011).docx Supplementary Document	2012-01-23
Attachment C4_InfCon(Spanish)_proj1Dec9FINAL.doc Supplementary Document	2012-01-23
Attachment C3_InfCon(Eng)_proj1Dec9FINAL.doc Supplementary Document	2012-01-23
Attachment B 60day_11DE.pdf Supplementary Document	2011-12-19
Attachment A Public Health Service Act 2000.pdf Supplementary Document	2011-12-19
Attachmnt D2_Consent Form for Project 2_Folic Acid Project_EnglishSEPT2011.doc Supplementary Document	2011-12-19
Attachment C4_InfCon(Spanish)_proj1Dec9FINAL.doc Supplementary Document	2011-12-19
Attachment C3_InfCon(Eng)_proj1Dec9FINAL.doc Supplementary Document	2011-12-19
SupportingStatementA_FolicAcidDec8REVISEDFINALcleancopy.doc Supporting Statement A	2012-01-24

IC Document Collections

IC ID	Document Title	Status
198636	Project Two Focus Group Guide Other-Focus Group Guide	Removed
198635	Project Two Screener Other-Screener	Removed
198634	Focus Group Moderators' Guide Form	Modified
198633	Screener Form	Modified

ICR Details

OMB Control No: 0920-0926	ICR Reference No: 201201-0920-010
Status: Historical Active	Previous ICR Reference No: 201107-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Communication Research on Folic Acid
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: 03/19/2012
	Date Received in OIRA: 01/25/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	12 Months From Approved
Responses	400	0	0
Time Burden (Hours)	152	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention, with contract support from Battelle Centers for Public Health Research and Evaluation, is conducting research to inform efforts to promote folic acid consumption among women of child-bearing age.

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Authorizing Statute(s): US Code: 42 USC 241 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:
	76 FR 14018	03/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 44334	07/25/2011
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Screener	none, none	Project One Screener ,   Spanish Project One Screener
Focus Group Moderators' Guide	none, none	Moderator's Guide ,   Moderators Guide Spanish
Project Two Screener
Project Two Focus Group Guide

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ICR Summary 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	400	0	0	400	0	0
Annual Time Burden (Hours)	152	0	0	152	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 resubmission of a new data collection.

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Annual Cost to Federal Government: $135,750

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]? 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: 01/25/2012

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