Assessment on Public Knowledge, Attitudes, and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Guinea

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Guinea KAP Household Member Interview	Form	New	Available
Guinea KAP - Community Leader Interview	Form	New	Available
Att7-GuineaKAP Analysis Plan 20150429 clean.docx	Supplementary Document	Uploaded 2015-05-07	Available
Att5-KAP Guinea Household Intro 20150507 clean.docx	Supplementary Document	Uploaded 2015-05-07	Available
Att3-GuineaKAP Intro Leader 20150507 clean.doc	Supplementary Document	Uploaded 2015-05-07	Available
Att2 GKAP ResrchDetrm & LetterSpprt 20150507.pdf	Supplementary Document	Uploaded 2015-05-07	Available
Att1-A 42 USC 241 PH Service Act Section 301.pdf	Supplementary Document	Uploaded 2015-05-07	Available
20150507 GKAP Em Req Memo.pdf	Supplementary Document	Uploaded 2015-05-07	Available
SpptngSttmnt B GKAP 20150507 clean.docx	Supporting Statement B	Uploaded 2015-05-07	Available
SpptngSttmnt A GKAP 20150507 clean.docx	Supporting Statement A	Uploaded 2015-05-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216472	Guinea KAP Household Member Interview	Form	New
216471	Guinea KAP - Community Leader Interview	Form	New

ICR Details

OMB Control No: 0920-1062	ICR Reference No: 201505-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 15AHM
Title: Assessment on Public Knowledge, Attitudes, and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Guinea
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/08/2015
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/08/2015
	Date Received in OIRA: 05/07/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	6 Months From Approved
Responses	6,150	0	0
Time Burden (Hours)	6,075	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is an emergency request to rapidly evaluate current knowledge, attitudes, and prevention and control practices regarding Ebola Virus Disease (EVD) in Guinea using nationally representative methods. The rapid assessment aims to identify barriers and gaps in knowledge, attitudes, and practices that contribute to the persisting Ebola outbreak in Guinea. This data is urgently needed to achieve CDC goals to move toward zero new cases.

Emergency Justfication: National information about core KAP indicators are urgently needed in Guinea to better understand the drivers of this persistent epidemic, even as incidence rates drop. Information of value includes use of prevention practices, sources of care sought for EVD symptoms, stigma and discrimination faced by ill persons or EVD survivors, exposure to EVD information, and or preferred sources of EVD-related health care, education, or community engagement channels as well as the reach and impact of EVD health promotion activities since the start of this outbreak. It is urgent to start this assessment by mid-May before the start of the rainy season when many roads become impassable.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Guinea KAP - Community Leader Interview	None	Community Leader Interview - English
Guinea KAP Household Member Interview	None	Household Member Interview - English

---

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	6,150	0	0	6,150	0	0
Annual Time Burden (Hours)	6,075	0	0	6,075	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: Emergency submission for 0920-15AHM is a New ICR.

---

Annual Cost to Federal Government: $219,986

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

---

Common Form ICR:  No

---

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: 05/07/2015

---