Ready CDC

Forms and Documents

Document Name	Status
Post-Workshop Assessment Form	New
Follow-up Survey Form	Unchanged
Workshop Evaluation Form	Removed
Pre-workshop Survey Form	Unchanged
Change Request_Ready CDC-FINAL.docx Justification for No Material/Nonsubstantive Change	2014-08-26
Attachment L_Consent to Participate Screen Shot.docx Supplementary Document	2014-05-08
Attachment H_Recruitment Email.docx Supplementary Document	2014-05-08
Attachment G ReadyCDC IRB Approval.docx Supplementary Document	2014-05-08
Attachment F_Consent to Participate.docx Supplementary Document	2014-05-08
Attachment B Fed Register 2014-03177.pdf Supplementary Document	2014-05-08
Attachment A _Applicable law or regulation PHSA_42 USC 241.pdf Supplementary Document	2014-05-08
Ready_CDC_ICR_Supporting_Statement_PART_B.doc Supporting Statement B	2014-05-08
Ready_CDC_ICR_Supporting_Statement_PART_A.doc Supporting Statement A	2014-05-08

IC Document Collections

IC ID	Document Title	Status
212825	Post-Workshop Assessment Form	New
211550	Follow-up Survey Form	Unchanged
211549	Workshop Evaluation Form	Removed
211547	Pre-workshop Survey Form	Unchanged

ICR Details

OMB Control No: 0920-1022	ICR Reference No: 201408-0920-010
Status: Historical Active	Previous ICR Reference No: 201405-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 14AXE
Title: Ready CDC
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/23/2014
	Date Received in OIRA: 09/08/2014
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.

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

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Abstract: The purpose of this change request is to obtain approval to collect the assigned unique ID during the workshop evaluation. 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

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

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ICR Summary 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	1,800	0	0	0	0
Annual Time Burden (Hours)	350	350	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Overall Burden Hours will remain the same following change in Workshop Assessment Form to add Unique ID for each survey.

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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: 09/08/2014

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