Justification for Change

CHATS Justification of Change_Apr12_version 4.docx

Children's Health after the Storms (CHATS)

Justification for Change

OMB: 0920-0925

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Justification for Change

Children’s Health After the Storms Study (CHATS) OMB No. 0920-0925



This Change Request is being submitted for OMB approval. Previously English langauage versions of data collection instruments, recruitment materials, and permission, consent, and assent forms and scripts were submitted and approved on March 8,2012, while translations in Spanish and Vietnamese were being developed. Below is the list of enclosed translated instruments to be used for this study.



  1. Spanish and Vietnamese translations of Documents Previously Included in ICR

    1. Attachment C in Spanish: Website content and FAQs

    2. Attachment D in Spanish: Cash Receipt Form

    3. Attachment F in Spanish and Vietnamese: Permission, Consent, and Assent Forms and Scripts

    4. Attachment H in Spanish and Vietnamese: Introductory Letter

    5. Attachment I in Spanish and Vietnamese: Study Brochure

    6. Attachment K in Spanish: Eligibility Screener

    7. Attachment L in Spanish: Baseline Session 1 (Module)

    8. Attachment M in Spanish: Baseline Session 2 (Module)

    9. Attachment N in Spanish: Follow-up Session 1 (Module)

    10. Attachment O in Spanish: Follow-up Session 2 (Module)

    11. Attachment U in Spanish: Sorry I Missed You Card

    12. Attachment X in Spanish: Study Results


Recruitment materials (Introductory Letter and Study Brochure) and all consent/assent/permission forms and script are now available in English, Spanish, and Vietnamese. All interview scripts and questionnaires have been translated into Spanish and will be administered to Spanish-speaking participants in Spanish. RTI will have trained Vietnamese interpreters available to administer the interview scripts and questionnaires to Vietnamese-speaking participants in Vietnamese. RTI is not translating the interview materials into Vietnamese for the Feasibility Study owing to the small size of the Vietnamese population; they will, however, re-evaluate the need to translate interview materials into Vietnamese for the Full Study based on Feasibility Study results.


An additional part of this change request provides new outreach materials. New outreach materials were developed by RTI to help disseminate information about the CHATS study including information cards,a poster, news print ad, and script for radio announcement. RTI also wanted to provide better instructions for the family and the schools regarding the environmental sampling equipment so two new instruction sheets for environmental samplers and a letter indicating parental approval for wearing the Personal Exposure Monitor (PEM) in school were developed for participants to bring to the school. These materials utilize the OMB-approved language formulated during the approval of this Information Collection Request (ICR). The list of new outreach materials follows:



  1. New outreach materials

    1. School Information Card

    2. Community Information Card

    3. Community Poster

    4. News Print Ad

    5. Radio Public Service Announcement


  1. New instructional materials to the parent and school

    1. Parent/Guardian Instructions for Environmental Samplers

    2. Parent/Guardian PEM Letter to School



This change request does not result in change to the currently approved burden or number of respondents, and does not change the purpose, the scope, nor methodology of this ICR.

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