Returning our Veterans to Employment and Reintegration (ROVER): National Surveys of Assistance Dog Providers and Veterans

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
A National Survey of Veterans	Form and Instruction	New	Available
Assistance Dog Providers Survey	Form and Instruction	New	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2013-05-06	Available
Attachment F1 HSRB- Veterans.docx	Supplementary Document	Uploaded 2013-05-06	Available
Attachment F- HSRB.pdf	Supplementary Document	Uploaded 2013-05-06	Available
Attachment E References.docx	Supplementary Document	Uploaded 2013-05-06	Available
3rd Rev ROVER SSA 08.15.2013.docx	Supporting Statement A	Uploaded 2013-08-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206851	A National Survey of Veterans	Form and Instruction	New
206850	Veterans Agency--Announcement Emails	Other-Veterans Agency Recruitment Flyer	New
206849	Assistance Dog Providers Survey	Form and Instruction	New
206848	Assistance Dog Provider Recruitment Email	Other-Recruitment Email	New

ICR Details

OMB Control No: 0920-0985	ICR Reference No: 201305-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 19479
Title: Returning our Veterans to Employment and Reintegration (ROVER): National Surveys of Assistance Dog Providers and Veterans
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: 09/09/2013
	Date Received in OIRA: 05/10/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	24 Months From Approved
Responses	7,100	0	0
Time Burden (Hours)	6,284	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: There is a great need for studies that examine specific aspects of human-animal interactions that may be effective in improving general quality of life and enhancing ability to work. Although reports of the positive impact of assistance animals are ubiquitous in the popular press, few studies have been conducted on the use of assistance dogs to help and support Veterans with physical and psychological disabilities return to employment. Furthermore, investigations are needed to document the specific roles or functions of assistance dogs that might be useful, not only for helping Veterans return to work, but also for reducing or ameliorating some of the symptoms PTSD and other psychological barriers. The survey of assistance dog providers is designed to gather information from providers and trainers of assistance animals about the services they provide to address Veterans and employment issues.

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Authorizing Statute(s): PL: Pub.L. 91 - 256 20 Name of Law: Occupational Safety and Health Act of 1970
  

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:
	77 FR 27066	05/08/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 25741	05/02/2013
Did the Agency receive public comments on this ICR? No

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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
Assistance Dog Provider Recruitment Email
Assistance Dog Providers Survey	none	Assistance Dog Providers Survey
Veterans Agency--Announcement Emails
A National Survey of Veterans	None	A National Survey of Veterans

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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	7,100	0	0	7,100	0	0
Annual Time Burden (Hours)	6,284	0	0	6,284	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 collection

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Annual Cost to Federal Government: $128,428

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: 05/10/2013

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