Generic Clearance Form Healthy Native Babies Project Train-the-Trainer Follow-Up Assessment

SUBMISSION OF INFORMATION COLLECTION UNDER THE

SAFE TO SLEEP GENERIC CLEARANCE

DATE OF REQUEST: October 10, 2014

SUB AGENCY (I/C): NICHD

TITLE: Healthy Native Babies (HNB) Project Train-the-Trainer Follow-up Assessment Survey

GENERIC CLEARANCE UNDER OMB#: 0925-0701 EXP. DATE: 07/31/2017

ABSTRACT:

The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) propose conducting a follow-up survey of participants in the Healthy Native Babies (HNB) Project train-the-trainer sessions. The HNB Project is a collaboration between the NICHD and representatives from five American Indian/Alaskan Native (AI/AN) communities in the U.S. Northern Tier - Aberdeen, Alaska, Billings, Bemidji, and Portland. This innovative collaboration is part of the Safe to Sleep® (STS) campaign and aims to spread safe sleep messages within AI/AN communities.

NICHD will collect information using the Healthy Native Babies Project Train-the-Trainer Follow-Up Assessment survey (Attachment 1). HNB Project trainees will receive a follow-up survey 3-6 months after completing the training. The follow-up survey will gather information on the participants’ community outreach and education activities since taking the training as well as their level of confidence in conducting these activities. The follow-up survey will also assess the participants’ use of and satisfaction with HNB Project training tools and materials.

TOTAL ANNUAL BURDEN APPROVED: 3,000

BURDEN USED TO DATE: 0

BURDEN THIS REQUEST: 16 for Individual-Household

FEDERAL COST: The estimated annual cost to the Federal government is $3,324.83.

IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ___X___ NO ______ N/A

OBLIGATION TO RESPOND:

___X___ VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY

HOW WILL THIS SURVEY BE OFFERED?

_____ WEB SITE

_____ TELEPHONE INTERVIEW

_____ MAIL RESPONSE

_____ IN PERSON INTERVIEW

__X___ OTHER: In-person Survey

CONTACT INFORMATION:

NAME: Shavon Artis

TELEPHONE NUMBER: 301-435-3459

EMAIL ADDRESS: [email protected]