Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

Forms and Documents

Document Name	Status
Home Healthcare Aides Survey Form	Modified
Nursing Home Administrators Employee Incident Information Form	Modified
Nursing Home Administrators Survey Form	Modified
Nurse (RN and LPN) Survey Form	Modified
Hospital Administrators Employee Incident Information Form	Modified
Hospital Administrators Committee Chair Interview Form	Modified
Hospital Administrators Evaluation Form Form	Modified
OMB Change 6.4.2013.doc Justification for No Material/Nonsubstantive Change	2013-06-07
OMB Approved and Changes Table 6 7 2013.docx Supplementary Document	2013-06-07

IC Document Collections

IC ID	Document Title	Status
205005	Home Healthcare Aides Survey Form	Modified
205004	Nursing Home Administrators Employee Incident Information Form	Modified
205003	Nursing Home Administrators Committee Chair Interview Other-Interview	Modified
205002	Nursing Home Administrators Survey Form	Modified
199796	Nurse (RN and LPN) Survey Form	Modified
199795	Hospital Administrators Employee Incident Information Form	Modified
199794	Hospital Administrators Committee Chair Interview Form	Modified
199793	Hospital Administrators Evaluation Form Form	Modified

ICR Details

OMB Control No: 0920-0914	ICR Reference No: 201306-0920-005
Status: Historical Active	Previous ICR Reference No: 201212-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 19759
Title: Workplace Violence Prevention Programs In New Jersey Healthcare Facilities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/19/2013
	Date Received in OIRA: 06/13/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	02/29/2016	02/29/2016
Responses	2,738	0	2,738
Time Burden (Hours)	960	0	960
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's National Institute for Occupational Safety and Health (NIOSH) seeks clearance to conduct research on the prevention of workplace violence in the healthcare industry. The objective of this project is to evaluate the impact of the New Jersey Violence Prevention in Health Care Facilities Act. This revision request seeks approval to add the collection of data from nursing home administrators and home healthcare aides.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20.a.1 Name of Law: Occupational Safety and Health 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

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Home Healthcare Aides Survey	none	Home Healthcare Aide Survey
Hospital Administrators Evaluation Form	none	Evaluation Form
Hospital Administrators Committee Chair Interview	none	Interview
Hospital Administrators Employee Incident Information	none	Incident Information
Nurse (RN and LPN) Survey	none	Nurse Survey
Nursing Home Administrators Survey	none	Nursing Home Administrators Survey
Nursing Home Administrators Committee Chair Interview
Nursing Home Administrators Employee Incident Information	none	Employee Incident

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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	2,738	2,738	0	0	0	0
Annual Time Burden (Hours)	960	960	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $964,367

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: 06/13/2013

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