0990-0388 Lets Move_Draft OMB package_full_

OMB Clearance Application:

Let’s Move! Cities, Towns and Counties Baseline Survey

Office of the Assistant Secretary for Planning and Evaluation

Submitted: December 19, 2011

TABLE OF CONTENTS

a. Justification 1

1. Circumstances Making the Collection of Information Necessary 1

2. Purpose and Use of Information Collection 1

3. Use of Improved Information Technology and Burden Reduction 2

4. Efforts to Identify Duplication and Use of Similar Information 2

5. Impact on Small Businesses or other Small Entities 2

6. Consequences of Collecting Data Less Frequently 2

7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5 2

8. Comments in Response to Federal Register Notice/ Outside Consultation 3

9. Payments/Gifts to Respondents 3

10. Assurance of Confidentiality 3

11. Questions of a Sensitive Nature 4

12. Estimates of Annualized Hour and Cost Burden 4

13. Estimates of Other Annualized Cost Burden to Respondents 4

14. Estimates of Annualized Cost to the Government 4

15. Program Changes 5

16. Time Schedule, Publication and Analysis Plans 5

B. Collections of Information Employing Statistical Methods 6

a. Justification

1. Circumstances Making the Collection of Information Necessary

The Office of the Assistant Secretary for Planning and Evaluation (ASPE) is requesting an extension of approval from the Office of Management and Budget (OMB) to collect information from public and private sector organizations for the Let’s Move! Cities, Towns and Counties through a baseline participant survey (OMB #0990-0388). An emergency approval was granted in January of 2012, and this information collection request is for a standard three-year approval. Let’s Move! is a comprehensive initiative, launched by the First Lady, dedicated to solving the challenge of childhood obesity within a generation. Combining comprehensive strategies with common sense, Let's Move! is about:

• Putting children on the path to a healthy future during their earliest months and years;

• Giving parents helpful information and fostering environments that support healthy choices;

• Providing healthier foods in our schools;

• Ensuring that every family has access to healthy, affordable food; and

• Helping kids become more physically active.

Let’s Move! Cities, Towns, and Counties emphasizes the unique ability of communities to solve the challenge locally, and the critical leadership mayors and local officials can provide to bring communities together and spur action. The initiative is designed to encourage mayors and local officials to adopt a long-term, sustainable and holistic approach to fighting childhood obesity.

The survey requests information about the activities the locality is choosing to undertake. The responses to these questions will be used to show progress and successes over time for localities participating in Let’s Move! Cities, Towns, and Counties, as well as how HHS can adjust its technical assistance in response to localities’progress. This initiative was launched preliminarily in the spring of 2010, and is being re-launched in January of 2011. Data collection should begin in January with the re-launch to ensure municipalities who have already signed up as well as those who have not have an opportunity to choose activities and strategies they will commit to implement through the Let’s Move! Cities, Towns and Counties initiative (LMCTC). The initiative will provide an opportunity for HHS and the White House to increase public awareness of creative approaches to develop and expand innovative methods for implementing the chosen strategies for LMCTC in various municipalities and communities.

The following subsections of this document provide a detailed justification of the baseline survey in accordance with OMB requirements.

This collection of data is authorized by Section 301 of the U.S Public Health Service Act (42 U.S.C.241). A copy of this legislation can be found in Appendix 1.

2. Purpose and Use of Information Collection

Let’s Move! Cities, Towns and Counties is designed to encourage mayors and local officials to adopt a long-term, sustainable and holistic approach to fighting childhood obesity. Mayors and local officials can be the leaders on this effort across the country. The initiative recognizes that every city is different, and every town will require a distinct approach to the issue. To participate, a mayor or local official can sign his or her location up as a prospective Let’s Move City, Let’s Move Town or Let's Move County. During this process, the local official or their designate will fill out the baseline survey where he or she will commit to one significant action to take during a 12-month period from each of the Let’s Move! Pillars. They are:

1. Implementing best practices in nutrition, physical activity and screen time in child care settings;

2. Promoting My Plate in city and municipal venues;

3. Increasing the number of students participating in the school breakfast and lunch programs;

4. Adopting healthy and sustainable food service guidelines for municipal spaces that serve food; and

5. Increasing access to physical activity programs in neighborhoods, schools and through community engagement.

Local officials are then asked to begin to envision how to address this issue in their communities.  Once the baseline survey has been submitted technical assistance resources will be made available to the prospective Let’s Move! Cities, Towns and Counties for successful achievement of each of the five actions.

Once local officials commit, a periodic follow-up survey will be given to determine the progress of participating municipalities and communities. A traditional information collection request will be submitted for follow-up surveys. After one year, local officials may be recognized in the following ways:

• Let’s Move! representatives will seek out cities and towns with successful initiatives to highlight and celebrate.

• Accomplishments and ideas for future action may be highlighted on the Let’s Move! website.

• Mayors from Let’s Move Cities, Towns, and Counties will be invited to participate in conference calls with White House and federal agency staff to share ideas, discuss barriers and celebrate progress.

• Mayors from Let’s Move Cities, Towns, and Counties may be invited to attend events to celebrate collective success in combating childhood obesity.

Baseline and follow-up surveys will be used to determine progress on participants chosen activities, technical assistance needs, geographic distribution of participating local officials, any barriers or facilitators to their work that should be examined, and successes.

3. Use of Improved Information Technology and Burden Reduction

To expedite and standardize data collection, the survey will be administered online through the Let’s Move! Cities, Towns and Counties website.

4. Efforts to Identify Duplication and Use of Similar Information

There are no other data collection activities collecting information for the Let’s Move! Cities, Towns and Counties Initiative. The information we are requesting to collect is not available elsewhere.

5. Impact on Small Businesses or other Small Entities

The baseline survey will have minimal impact on small entities as only one individual per organization or municipality will fill out the survey. Further, completion of the survey will require minimal time out of the individual’s workday to complete.

6. Consequences of Collecting Data Less Frequently

The design of this baseline survey requires only one data collection activity per participant at baseline. Follow-up surveys will be conducted periodically for participants, and approval for follow-up surveys will be requested through a traditional Information Collection Request. Without collecting this data, HHS will not be able to identify and adequately assess who is participating in LMCTC and which activities and strategies they have agreed to implement, which is essential in showing progress and determining geographic areas for outreach and technical assistance needs and to recognize successful implementation of the Let’s Move! programs. In addition, collecting this information will assist in disseminating promising practices to ultimately increase the number and diversity of individuals, organizations, and groups that are addressing the LMCTC activities and strategies within communities.

7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5

This request is consistent with the general information collection guidelines of 5 CFR 1320.5(d)(2).

8. Comments in Response to Federal Register Notice/ Outside Consultation

A notice in the Federal Register was published on March X, 2012 (Vol. 77, No. XXX pgs CCC). HHS staff and advisors consulted in the development of this project include:

• Wilma Tilson PhD, MPH (ASPE/HHS)

• Amanda Cash, DrPH (ASPE/HHS)

• Catherine McMahon, MPH (Office of the Assistant Secretary for Health/HHS)

• Laina Bush, MBA (ASPE/HHS)

• Judith Palfrey, MD, Executive Director, Let’s Move!

• Julie Moreno, MPH, Domestic Policy Council

9. Payments/Gifts to Respondents

There will be no payments or gifts to respondents.

10. Assurance of Confidentiality

Information that is personally identifiable will not be collected. The only information that will be collected is the contact information for the individual filling out the survey on their municipality or community’s behalf. Any information obtained on the baseline survey will be kept private to the extent allowed by law. Information provided may be used to identify and adequately assess who is participating in LMCTC and which activities and strategies they have agreed to implement, which is essential in showing progress and determining geographic areas for outreach and technical assistance needs. Information collected through the baseline survey will assist in disseminating promising practices to ultimately increase the number and diversity of individuals, organizations, and groups that are addressing the LMCTC activities and strategies within communities. Participants will be informed in the instructions for the survey that the information provided in the survey will be used for the purpose of tracking progress of the LMCTC and disseminating promising practices to ultimately increase the number and diversity of individuals, organizations, and groups that are addressing the LMCTC activities and strategies within communities. Promising practices may be publicly highlighted and celebrated in public forums, posted on the the Let’s Move! Website or annual reports. In addition, the organization information as well as the name of a contact person may be made available on the Let’s Move! Website for replication purposes.

11. Questions of a Sensitive Nature

The application will not include any questions of a sensitive or personal nature. Respondents will be asked questions regarding their municipality or community, and information related to which activities the municipality chooses to implement. The questions are designed to solicit information solely regarding the activities the municipality or community chooses to implement.

12. Estimates of Annualized Hour and Cost Burden

In Exhibit 1 and 2, we provide estimates of the collection burden on applicants for this effort. Applicants will participate in data collection one time only, responding via an online baseline survey. Hour burden estimates were determined based on similar surveys used in other HHS programs.

Exhibit 1. Estimate Annualized Time Burden to Respondents

Type of Respondent	Form	Estimated # of Respondents	Responses per Respondent	Hours per Response	Estimated Total Burden Hours
Government Official (city, town, county)	Baseline Survey	1,000	1	15/60	250

Exhibit 2. Estimate of Cost Burden to Respondents

Type of Respondent	Estimated # of Respondents	Total Burden Hours	Average Hourly Wage Rate	Total Cost Burden
Government Official (city, town, county)	1,000	250	$29.12*	$7,280.00

*Based on hourly wage for Social and Community Service Managers, U.S. Department of Labor, Bureau of Labor Statistics. Extracted March 5, 2010, from www.bls.gov.

13. Estimates of Other Annualized Cost Burden to Respondents

Information collected for the baseline survey for LMCTC will not result in any additional capital, start-up, maintenance, or purchase costs to respondents or record keepers.

14. Estimates of Annualized Cost to the Government

The majority of costs related to the baseline survey are personnel costs of several federal employees involved in the development, oversight, and analysis of information collection, amounting to an annualized cost of $25,417 for Federal labor.

15. Program Changes

There is no change to the burden estimate, this is an extension of the previously approved emergency clearance.

16. Time Schedule, Publication and Analysis Plans

The information collected in the baseline survey will be used to determine which municipalities signed up for LMCTC, and which activities and strategies they choose to implement. In order to present a coherent plan, this section presents a brief overview of the study purpose, selection process, and the time schedule for completing the project, including dissemination of information.

As a part of the LMCTC process, interested municipalities and communities will sign up to participate in LMCTC by completing an online baseline survey that asks several questions related to their municipality and the strategies and activities they choose to implement. The responses to these questions will be used to determine technical assistance needs, outreach and follow-up information, and the proportion of municipalities who chose to implement each activity or strategy. The activities and strategies fall into the following categories:

• Implementing best practices in nutrition, physical activity and screen time in child care settings;

• My Plate promotion in city and municipal venues;

• Increasing the number of students participating in the school breakfast and lunch programs;

• Adopting healthy and sustainable food service guidelines for municipal spaces that serve food; and

• Increasing access to play spaces in neighborhoods, schools and through community engagement.

Information will be collected over a one to three month period following OMB approval, and will be ongoing as municipalities choose to sign up for LMCTC. Exhibit 3 provides a schedule of data collection, and future plans for follow-up survey collection, and announcement following OMB approval.

Exhibit 3. Timetable for Data Collection

Activity	Expected Date of Completion
Complete Development of Website	During OMB review
Baseline survey taken (data collection)	1-3 months following OMB approval
New OMB ICR submitted for follow-up surveys	1 month following OMB approval
Announcement of Municipalities signed up	2-6 months following OMB approval

17. Approval not to Display the Expiration Date for OMB approval

ASPE does not seek this exemption.

18. Exception to Certification Statement

There are no exceptions to the certification statement.

B. Collections of Information Employing Statistical Methods

The baseline survey will be used for the sole purpose of determining the strategies and activities LMCTC participants have chosen to implement. Statistical methods will not be employed for this data collection; however, descriptive statistics will be used such as the number of municipalities that signed up for LMCTC, which activities they chose to implement, and geographic location.

The government project officer for this study is:

Wilma Robinson, PhD, MPH

Senior Health Policy Analyst

US Department of Health and Human Services

Office of Assistant Secretary of Planning and Evaluation

Office of Health Policy

200 Independence Ave, SW

Room 447D

Washington, DC 20201