Information Collection Request

The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)

ICR 201307-0925-004 · OMB 0925-0649 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 13 School Liaisons Form and Instruction New Repair queued
Form 11 District Food Service Administrator/Manager Form and Instruction New Available
Form 8 Physicians/Medical Secretaries Form and Instruction Modified Available
Form 1 State Health Department Employees Form and Instruction Removed Available
Form 10 Physical Education Instructiors Form and Instruction Modified Available
Form 9 Food Service Personnel Form and Instruction Modified Available
Form 7 Key Informants Form and Instruction Modified Available
Form 6 Key Informats (screening) Form and Instruction Modified Repair queued
Form 5 Children Form and Instruction Modified Repair queued
Form 4 Parents/Caregivers (who refused) Form and Instruction Modified Repair queued
Form 3 Second Parents Form and Instruction Modified Available
Form 2 Parents/Caregivers Form and Instruction Modified Repair queued
Form 1 Parents (screening) Form and Instruction Modified Available
FINAL_HCS_SSB_7-11-13.docx Supporting Statement B Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSB_ATTACH 2_NOMINATION FORM_Jan 2013.xlsx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSB_ATTACH 1_CCSC MEMBERS_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Available
FINAL_HCS_SSA_ATTACH 1_GLOSSARY_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 2_BEE ROSTER_SEP 2011.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 3_NHLBI COUNCIL ROSTER_SEP 2011.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 4_TOOLKIT_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Available
FINAL_HCS_SSA_ATTACH 21_NCCOR LETTER_Jan 2013.pdf Supplementary Document Uploaded 2013-07-24 Available
FINAL_HCS_SSA_ATTACH 22_SUBCOMMITTEES_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 23_IRB APPROVAL_Jan 2013.pdf Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 24_PRIVACY ACT MEMO_Jan 2013.pdf Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 14_MOD WINDSHIELD SURVEY_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Repair queued
HCS_OMB Memo RE revision_2-12-13 revised 2 28 13.docx Supplementary Document Uploaded 2013-07-24 Available
FINAL_HCS_SSB_ATTACH 3_STAT POWER ANALYSIS_July 2013.docx Supplementary Document Uploaded 2013-07-24 Available
FINAL_HCS_SSA_ATTACH 10_KI LETTER_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_ATTACH 11_KI BROCHURE_Jan 2013.docx Supplementary Document Uploaded 2013-07-24 Repair queued
FINAL_HCS_SSA_7-11-13.docx Supporting Statement A Uploaded 2013-07-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
207892 School Liaisons Form and Instruction New
207891 District Food Service Administrator/Manager Form and Instruction New
199554 Physicians/Medical Secretaries Form and Instruction Modified
199553 State Health Department Employees Form and Instruction Removed
199552 Physical Education Instructiors Form and Instruction Modified
199551 Food Service Personnel Form and Instruction Modified
199550 Key Informants Form and Instruction Modified
199549 Key Informats (screening) Form and Instruction Modified
199548 Children Form and Instruction Modified
199547 Parents/Caregivers (who refused) Form and Instruction Modified
199546 Second Parents Form and Instruction Modified
199545 Parents/Caregivers Form and Instruction Modified
199544 Parents (screening) Form and Instruction Modified
ICR Details
0925-0649 201307-0925-004
Historical Active 201201-0925-002
HHS/NIH 20141
The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)
Revision of a currently approved collection   No
Regular
Approved with change 08/06/2013
Retrieve Notice of Action (NOA) 07/24/2013
Approved consistent with the understanding that NIH will continue to collaborate with CDC on related projects and that the relationship between renewals or revisions of this ICR will include a dicussion of the interaction with and relationship to CDC collections investigating similar issues and/or outcomes.
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 01/31/2015
69,010 0 90,880
29,505 0 33,145
0 0 0

The following submission provides information on Wave 2 of the National Heart, Lung, and Blood Institute's (NHLBI) planned "Healthy Communities Study (HCS): How Communities Shape Children's Health." An Information Collection Request (ICR) package was previously submitted to the Office of Management and Budget (OMB) and approval obtained for the first three years of planned data collection activities for the HCS, including Wave 1 of the study (OMB Notice of Approval 0925-0649 expiration date 1/31/2015). Four Communities were part of Wave 1 and the data was collected over the summer of 2012; Wave 2 consists of 264 new communities. Due to changes to the study protocol that resulted from the Wave 1 experience, a new ICR package is being submitted for Wave 2 of the study. The information is organized to respond directly to the 18 itemized subsections of Section A (Justification) of the Supporting Statement for Paperwork Reduction Act Submissions. A general description of the scope of work for the study is included below, as well as specific items in the Supporting Statement for Paperwork Reduction Act Submissions. Please refer to Attachment 1 for a list of study glossary of terms.

US Code: 42 USC 285b Name of Law: NHLBI Mandate
  
None

Not associated with rulemaking

  77 FR 71426 11/30/2012
78 FR 13350 02/27/2013
Yes

  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 69,010 90,880 0 0 -21,870 0
Annual Time Burden (Hours) 29,505 33,145 0 0 -3,640 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This study represents a revision for The Healthy Communities Study (OMB control number 0924-0649, expiration date 01/31/2015). An ICR package for the HCS was previously submitted to the Office of Management and Budget (OMB) and approval obtained for the first three years of planned data collection activities for the HCS (OMB control number 0925-0649 expiration date: January 31, 2015). Data collection for Wave 1 of the HCS occurred during the Spring and Summer of 2012. Based upon findings from Wave 1, and feedback from the HCS Observational Study Monitoring Board (OSMB), an independent third-party oversight group that is required by the National Heart, Lung, and Blood Institute (NHLBI), modifications have been made to the study design and protocol that have resulted in this revision for Wave 2 of the study. The study changes will be cost-effective for the government, will decrease participant burden, and will improve recruitment of families into the study, while minimally impacting the study aims and power.

$109,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Saleda Perryman

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/24/2013