Qualitative Information Collection on Emerging Diseases among the Foreign-born in the US

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att. F - Example Participant Screener.docx	Supplementary Document	Uploaded 2016-05-24	Available
Att. E - Participant Information Sheet.docx	Supplementary Document	Uploaded 2016-05-24	Available
Att. D - Example of an Interview Guide.docx	Supplementary Document	Uploaded 2016-05-24	Available
Att. C - Example of a Focus Group Discussion Guide.docx	Supplementary Document	Uploaded 2016-05-24	Available
Att. A6 - 42 CFR Part 34.pdf	Supplementary Document	Uploaded 2016-05-24	Available
Att. A5 - Section 325 of the PHSA.pdf	Supplementary Document	Uploaded 2016-05-24	Available
Att. A4 - Section 212(a)(1)(A) of the INA.pdf	Supplementary Document	Uploaded 2016-05-24	Available
Att. A3 - 42 CFR 71.pdf	Supplementary Document	Uploaded 2016-05-24	Available
Att. A2 - 42 CFR 70.pdf	Supplementary Document	Uploaded 2016-05-24	Available
Att. A1 - Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2016-05-24	Available
SSB_Migrant Health Generic_Qualitative Ext_AS_ARL.docx	Supporting Statement B	Uploaded 2016-05-24	Available
SSA_Migrant Health Generic_Qualitative_FINAL.docx	Supporting Statement A	Uploaded 2016-11-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0920-0987	ICR Reference No: 201605-0920-017
Status: Historical Active	Previous ICR Reference No: 201308-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 12RI
Title: Qualitative Information Collection on Emerging Diseases among the Foreign-born in the US
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/02/2016
	Date Received in OIRA: 05/26/2016
Terms of Clearance: Approved with the understanding that individual GenIC requests will be submitted and the submission will include any instruments to be used in data collection along with a description of the aims, population, and methods of the particular project. All GenIC requests will also contain a complete justification for any incentives offered.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	1,650	0	3,075
Time Burden (Hours)	1,350	0	2,475
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of the generic information collection is to enhance the ability to determine knowledge, attitudes, health beliefs and practices related to communicable diseases and other emerging health issues amongst high risk foreign-born populations in the United States.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: Public Health Service Act
   US Code: 8 USC 1182 Name of Law: Immigration and Nationality Act
  

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:
	81 FR 11798	03/07/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 32332	05/23/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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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	1,650	3,075	0	-1,425	0	0
Annual Time Burden (Hours)	1,350	2,475	0	-1,125	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: CDC DGMQ was limited in the number of information collections it could perform with foreign born populations in the United States during the previous three years due to a combination several factors: emergency responses that prevented key Unit staff from focusing on carrying on these types of GenIC’s, a lack of specific project funding, and a transition of key Unit leadership to another office. These factors have subsided, and with the current Zika outbreak and improved communicating regarding the availability of this generic information collection to select CDC staff, CDC believes that conducting information collections under the burden described above is feasible.

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Annual Cost to Federal Government: $347,414

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: 05/26/2016

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