Prevention Communication Formative Research

Forms and Documents

Document Name	Status
0990-0281 Supporting Statement.docx Supporting Statement A	2015-10-01
0990-0281 SectionBStats 2.docx Supporting Statement B	2015-10-02

IC Document Collections

IC ID	Document Title	Status
229946	Promoting Patient Engagement in Clinical Preventive Services Other-Patient Survey	New
229829	Audience Research to Inform Physical Activity Guidelines Strategic Communication Other-Moderator’s Guide for Child	New
227272	Audience Research to Inform Physical Activity Guidelines Strategic Communication Other-screener	New
226307	Audience Research to Inform Physical Activity Guidelines Strategic Communication Other-survey	New
225093	Understanding Physical Activity-Related Information Needs and Communication Preferences among Consumers and Professionals Other-recruitment	New

ICR Details

OMB Control No: 0990-0281	ICR Reference No: 201509-0990-002
Status: Historical Active	Previous ICR Reference No: 201209-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Prevention Communication Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/04/2016
	Date Received in OIRA: 10/06/2015
Terms of Clearance: Approved consistent with the understanding that individual memos explaining the exact methods for information collection will be submitted for each study under this clearance as GenICs and data collection will not begin until approval is received for the individual GenIC.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	03/31/2016
Responses	9,220	0	4,647
Time Burden (Hours)	1,497	0	1,643
Cost Burden (Dollars)	0	0	0

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Abstract: This generic clearance request describes data collection activities involving a limited set of focus groups, individual interviews, Web-based concept and prototype testing, and usability and effects testing to establish a deeper understanding of the interests and needs of consumers and health intermediaries for disease prevention and health promotion information and tools.

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Authorizing Statute(s): PL: Pub.L. 94 - 317 201 Name of Law: National Consumer Health Information and Health Promotion Act of 1976
  

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:
	80 FR 39783	07/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 58738	09/30/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Audience Research to Inform Physical Activity Guidelines Strategic Communication
Audience Research to Inform Physical Activity Guidelines Strategic Communication
Promoting Patient Engagement in Clinical Preventive Services
Understanding Physical Activity-Related Information Needs and Communication Preferences among Consumers and Professionals
Audience Research to Inform Physical Activity Guidelines Strategic Communication

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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	9,220	4,647	0	4,573	0	0
Annual Time Burden (Hours)	1,497	1,643	0	-146	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: Using Information Technology

Short Statement: ODPHP is proposing the following program changes: 1. Revise purpose and justification to reflect ODPHP's current office initiatives and priorities for the next 3 years. For example, decrease and consolidate methods and update respondent numbers. see supporting statement section 15 for other program changes

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Annual Cost to Federal Government: $99,000

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: 10/06/2015

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