Ready CDC

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Follow-up Survey	Form	New	Available
Workshop Evaluation	Form	New	Available
Pre-workshop Survey	Form	New	Available
Attachment L_Consent to Participate Screen Shot.docx	Supplementary Document	Uploaded 2014-05-08	Available
Attachment H_Recruitment Email.docx	Supplementary Document	Uploaded 2014-05-08	Available
Attachment G ReadyCDC IRB Approval.docx	Supplementary Document	Uploaded 2014-05-08	Repair queued
Attachment F_Consent to Participate.docx	Supplementary Document	Uploaded 2014-05-08	Available
Attachment B Fed Register 2014-03177.pdf	Supplementary Document	Uploaded 2014-05-08	Available
Attachment A _Applicable law or regulation PHSA_42 USC 241.pdf	Supplementary Document	Uploaded 2014-05-08	Available
Ready_CDC_ICR_Supporting_Statement_PART_B.doc	Supporting Statement B	Uploaded 2014-05-08	Available
Ready_CDC_ICR_Supporting_Statement_PART_A.doc	Supporting Statement A	Uploaded 2014-05-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211550	Follow-up Survey	Form	New
211549	Workshop Evaluation	Form	New
211547	Pre-workshop Survey	Form	New

ICR Details

OMB Control No: 0920-1022	ICR Reference No: 201405-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Ready CDC
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: 06/18/2014
	Date Received in OIRA: 05/21/2014
Terms of Clearance: Approved with the understanding that the IRB approval will be renewed prior to initiation of data collection and that no assurances of "confidentiality" will be made. The agency may state that "information will be kept secure to the extent provided by law," but cannot assure privacy or confidentiality without explicit statutory authority to do so.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved
Responses	1,800	0	0
Time Burden (Hours)	350	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Ready CDC is an educational intervention designed to increase awareness about personal and family preparedness and increase the number of individuals who are prepared for a disaster in their community. CDC is responsible for responding to national and international disasters. One component of ensuring staff are prepared to respond to disasters is ensuring that they have personal and family preparedness plans. Individuals are more likely to respond to an event if they perceive that their family is prepared to function in their absence during an emergency. The Ready CDC educational intervention consists of a Personal Preparedness Workshop and 3 targeted communications to reinforce concepts from the workshop. The audience will be the CDC workforce including both federal staff and contractors.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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:
	79 FR 8720	02/13/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 26762	05/09/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Pre-workshop Survey	none	Pre-workshop Survey
Workshop Evaluation	none	Workshop Evaluation
Follow-up Survey	none	Follow-up Survey

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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	1,800	0	0	1,800	0	0
Annual Time Burden (Hours)	350	0	0	350	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 ICR.

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Annual Cost to Federal Government: $264,983

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: 05/21/2014

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