Data Collection for Evaluation of Education, Communication, and Training Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies	Form and Instruction	New	Available
Supporting Statement B 0932 revision 03092015.docx	Supporting Statement B	Uploaded 2015-03-19	Available
Supporting Statement A 0932 revision 03092015.docx	Supporting Statement A	Uploaded 2015-03-19	Available
Appendix G SURVEY 3_15_12.doc	Supplementary Document	Uploaded 2012-03-20	Repair queued
Appendix F INTERVIEW GUIDE 3_15_12.doc	Supplementary Document	Uploaded 2012-03-20	Available
Appendix E Focus Group Discussion Guide 3_15_12.docx	Supplementary Document	Uploaded 2012-03-20	Available
Attachment C - USCODE-2009-title42-chap6A-subchapII-partC-sec252.pdf	Supplementary Document	Uploaded 2012-03-20	Available
Attachment B - USCODE-2010-title8-chap12-subchapII-partII-sec1182.pdf	Supplementary Document	Uploaded 2012-03-20	Available
Attachment A - USC264.pdf	Supplementary Document	Uploaded 2012-03-20	Available
Attachment A - CFR-2010-title42-vol1-part71.pdf	Supplementary Document	Uploaded 2012-03-20	Available
Attachment A - CFR-2010-title42-vol1-part70.pdf	Supplementary Document	Uploaded 2012-03-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229522	Evaluation of Travelers' Health Zika Prevention Communication Campaign for HispanicsLatinos Visiting Friends and Family Word of Mouth Survey (Pre/Post Test)	Other-WORD	New
226980	Knowledge, Attitudes, and Practices about Dengue, Chikungunya, and Zika among Travel Consultants and Aid Agencies	Instruction	New
218556	Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies	Form and Instruction	New

ICR Details

OMB Control No: 0920-0932	ICR Reference No: 201503-0920-002
Status: Historical Active	Previous ICR Reference No: 201203-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Data Collection for Evaluation of Education, Communication, and Training Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/09/2015
	Date Received in OIRA: 04/09/2015
Terms of Clearance: Approved consistent with the following terms of clearance: For each information collection, a GenIC information collection request will be prepared and submitted to OMB for review and approval. Any changes to the ICR will also be submitted to OMB for review and approval. When incentives are used, a justification must be provided.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved	07/31/2015
Responses	112,500	0	166,500
Time Burden (Hours)	53,505	0	66,498
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request to revise the Generic for Evaluating Education, Communication, and Training Activities within the National Center for Emerging and Zoonotic Infectious Disease's Division of Global Migration and Quarantine Division (DGMQ).

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Authorizing Statute(s): US Code: 42 USC 361 Name of Law: Public Health Service
  

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 75155	12/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 13564	03/16/2015
Did the Agency receive public comments on this ICR? Yes

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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
Knowledge, Attitudes, and Practices about Dengue and Chikungunya among Travel Consultants and Aid Agencies	NA, NA, NA, NA	Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English ,   Moderator’s Guide of Questions for Focus Groups with Sending Agencies - Spanish ,   Moderator’s Guide for Focus Groups with Volunteers - English ,   Moderator’s Guide for Focus Groups with Volunteers - Spanish
Evaluation of Travelers' Health Zika Prevention Communication Campaign for HispanicsLatinos Visiting Friends and Family Word of Mouth Survey (Pre/Post Test)
Knowledge, Attitudes, and Practices about Dengue, Chikungunya, and Zika among Travel Consultants and Aid Agencies	NA, NA, NA, NA	Moderator’s Guide of Questions for Focus Groups with Sending Agencies - English ,   Moderator’s Guide of Questions for Focus Groups with Sending Agencies - Spanish ,   Moderator’s Guide of Questions for Focus Groups with Missionairies/Volunteers - English ,   Moderator’s Guide of Questions for Focus Groups with Missionairies/Volunteers - Spanish

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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	112,500	166,500	0	-54,000	0	0
Annual Time Burden (Hours)	53,505	66,498	0	-12,993	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This ICR Revision results in a decreased number of burden hours due to CDC no longer requesting Screeners for Large Group Discussions or Large Group Discussions as information collections. CDC is also no longer requesting Screeners for Pre/Post Tests.

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Annual Cost to Federal Government: $2,863,550

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: 04/09/2015

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