Community-based Tick Control for the Prevention of Rocky Mountain Spotted Fever in Hermosillo, Mexico

ICR 201601-0920-006

OMB: 0920-1110

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Supporting Statement A
2016-03-30
Supplementary Document
2016-01-19
Supplementary Document
2016-01-19
Supplementary Document
2016-01-19
Supporting Statement B
2016-03-30
Supplementary Document
2016-01-07
Supplementary Document
2016-01-07
IC Document Collections
ICR Details
0920-1110 201601-0920-006
Historical Active
HHS/CDC 16CP
Community-based Tick Control for the Prevention of Rocky Mountain Spotted Fever in Hermosillo, Mexico
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/30/2016
Retrieve Notice of Action (NOA) 01/20/2016
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved
2,100 0 0
700 0 0
0 0 0

The Rickettsial Zoonoses Branch (RZB) requests approval of a public health intervention assessment tool to demonstrate the efficacy and impact of public health research related to the prevention of Rocky Mountain spotted fever [RMSF] in Hermosillo, Mexico. These activities include monitoring cases, conducting tick control interventions, and performing participant surveys to assess the knowledge, attitudes, and practices relating to tick control and prevention.

US Code: 42 USC 264 Name of Law: PHSA
  
None

Not associated with rulemaking

  80 FR 69680 11/10/2015
81 FR 2867 01/19/2016
Yes

2
IC Title Form No. Form Name
Household Registration NA Household Questionnaire
KAP Survey (Pre/Post) NA KAP Questionnaire

  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 2,100 0 0 2,100 0 0
Annual Time Burden (Hours) 700 0 0 700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-16CP is a New ICR.

$83,500
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/20/2016


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