Justification for Change & Crosswalk

Non-Substantive Change Request

OMB Control Number 0920-0993: - Public Health, Mental Health, and Community Recovery Project

Description of Change

We have made minor changes to the screener and telephone survey portion of protocol 0920-0993: - Public Health, Mental Health, and Community Recovery Project. We have changed the order in which survey questions are administered and we have added a few low-demand (yes/no or other simple response) screening questions for better refinement of the sample.

Justification for Change

1. Change in the order that questions are administered – This change is requested to improve the flow of the survey and to move questions that are more general in nature to the beginning of the survey, and the more specific questions (such as “access to care” towards the end).

2. Sample Refinement

   1. Removed “What town/neighborhood do you live in” (see top of page 3 of approved screener “Attachment H”)

   2. Added “What is your zip code” (see bottom of page 2 of new Attatchment H_Screener)

One goal of the project is to examine to what extent have communities in 6 counties in Alabama and Mississippi recovered from the tragic tornado outbreak in April 2011 (this goal has not changed). The sample refinement proposed by the small changes described herein will allow for the sampling of residents who live in an area that was affected by a severe tornado in 2011. We have used tornado track maps obtained from the National Weather Service to identify 69 zip codes that were affected. In the previously-approved screening document we asked for the county in which they lived and narrowed the sample to residents within six specific counties. In the requested change we narrow the sample to 69 specific zip codes WITHIN the six counties that were originally proposed. By asking both county AND zip code we are able to refine our sample a bit more, to those who live closer to one of the tornado tracks. This change narrows the eligible respondents to those who live in one of the six counties AND one of the 69 eligible zip codes. We are targeting phone numbers only for the eligible zip codes but we might unintentionally reach some residents who live outside our target area (as defined by zip code). If the response is not within our target area, we will not administer the survey.

3. Added “How long have you lived in this community” (see page 19 on new Attatchment D_Survey and Consent.)

4. Added “Did you live at this same address during the time of the tornadoes in April 2011”

5. For those who answer “no” to the question described in “c.” above, we will ask a few more questions to identify where they lived during the tornados. (See additions and skip patterns on page 20 of new Attatchment D). We anticipate that these additions will be asked only to a small subsample who have moved into the area since the tornados. This assumption is based on existing mobility data for the target counties.

By making these changes to screening and identifying both current location and location during the tornados in April 2011 (during the survey), we can get more useful information out of the full survey by understanding the respondents physical location to the tornados and, subsequently, to communities that are recovering from the tornados. We can also reduce the burden on respondents by NOT asking questions that are not relevant to those who did not live in an area during the tornado but who have been involved in community recovery by moving into a recovering community (our “target area”) between the time of the tornado and the survey. We can later, in our analyses, statistically account for the length of time a resident has lived in the recovering community.

Change	Approved (OLD)	Submitted (New)
Change in order of questions
“What is your gender”	p. 16 (Att D)	p. 2 (Att D)
Access to care section	begins on p. 2 (Att D)	begins on p. 18 (Att D)
Mental Health treatment section	begins on p. 9 (Att D)	begins on p. 16 (Att D)
“how many adults are female, “how many are male”	p. 5 of screener (Att H)	p. 33 of survey (Att D)
Additions/Replacements
Removed “what town do you live in”	p. 2 (Att H)	removed
Added “what is your zip code	---	p. 3 (Att H)
Added “How long have you lived in this community”	---	p. 19 (Att D)
Added “Did you live at this same address during the time of the tornadoes in April 2011”	---	p. 19 (Att D)
For the few who answer “no” to above question, ask a short series of questions to identify where they lived in proximity to tornados	---	p. 20-21 (Att D)