Qualitative Information Collection on Emerging Diseases among the Foreign-born in the US

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Emerging mosquito-borne diseases: assessment of chikungunya and dengue-related knowledge, attitudes and practices for Mexican-origin audiences along the U.S-Mexico border	Form and Instruction	New	Available
Supporting Statement B_Migrant Health Generic_Qualitative 07102013.docx	Supporting Statement B	Uploaded 2013-08-07	Available
Attachment G Example of an Interview Guide.docx	Supplementary Document	Uploaded 2013-08-07	Available
Attachment F Example of a Focus Group Discussion Guide.docx	Supplementary Document	Uploaded 2013-08-07	Available
Attachment E - Example Participant Screener.docx	Supplementary Document	Uploaded 2013-08-07	Available
Attachment H - Participant Information Sheet.docx	Supplementary Document	Uploaded 2013-08-07	Available
Attachment D USCODE-2009-title42-chap6A-subchapII-partC-sec252.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Attachment CUSCODE-2011-title8-chap12-subchapII-partII-sec1182.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Attachment A USCODE-2009-title42-chap6A-subchapII-partG.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Attachment A CFR-2010-title42-vol1-part71.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Attachment A CFR-2010-title42-vol1-part70.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Attachment B 60 Day FRN.pdf	Supplementary Document	Uploaded 2013-08-07	Available
Supporting Statement A_Migrant Health Generic_Qualitative Methods 071020....docx	Supporting Statement A	Uploaded 2013-08-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217878	Emerging mosquito-borne diseases: assessment of chikungunya and dengue-related knowledge, attitudes and practices for Mexican-origin audiences along the U.S-Mexico border	Form and Instruction	New

ICR Details

OMB Control No: 0920-0987	ICR Reference No: 201308-0920-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 20273
Title: Qualitative Information Collection on Emerging Diseases among the Foreign-born in the US
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: 09/12/2013
	Date Received in OIRA: 08/13/2013
Terms of Clearance: Approved with the understanding that individual GenIC requests will be submitted and the submission will include any instruments to be used in data collection along with a description of the aims, population, and methods of the particular project. Information collection on an individual project under this generic cannot begin until OMB approval for that collection has been obtained.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved
Responses	3,075	0	0
Time Burden (Hours)	2,475	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This will allow DGMQ to collect critical qualitative information on knowledge, attitudes, health beliefs and practices related to emerging health issues amonth high risk foreign-born populations in the US. It is needed for planning and implementation of disease prevention and control strategies among those communities in specific and limited geographic areas.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: Public Health Service Act
   US Code: 8 USC 1182 Name of Law: Immigration and Nationality 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
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 53887	09/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 66468	11/05/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Emerging mosquito-borne diseases: assessment of chikungunya and dengue-related knowledge, attitudes and practices for Mexican-origin audiences along the U.S-Mexico border	NA, NA	Participant Screener ,   Focus Group Discussion Guide

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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	3,075	0	0	3,075	0	0
Annual Time Burden (Hours)	2,475	0	0	2,475	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 generic clearance request.

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Annual Cost to Federal Government: $256,000

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: 08/13/2013

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