Update the Height Recommendation for Proper Seat Belt Fit among Children

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att. N_Confirmation letter.docx	Supplementary Document	Uploaded 2016-06-14	Available
Att. M_Directions to Study Site.docx	Supplementary Document	Uploaded 2016-06-14	Available
Att. L_Flyer child recruiting.docx	Supplementary Document	Uploaded 2016-06-14	Available
Att. K_Postcard recruiting-ChildAdult.docx	Supplementary Document	Uploaded 2016-06-14	Available
Att. J_Height and weight percentile.docx	Supplementary Document	Uploaded 2016-06-14	Available
Att. G_NCIPC Research Determination Form.pdf	Supplementary Document	Uploaded 2016-06-14	Available
Att. F_PIA.pdf	Supplementary Document	Uploaded 2016-06-14	Available
Att. E2_Assent Form ICRO.DOCX	Supplementary Document	Uploaded 2016-06-14	Available
Att. E1_Consent Form ICRO.DOCX	Supplementary Document	Uploaded 2016-06-14	Available
Att. D_IRB Approval Letter Cont'.pdf	Supplementary Document	Uploaded 2016-06-13	Available
Att. B_60dy1616CA.pdf	Supplementary Document	Uploaded 2016-06-13	Available
Att. A_Authorizing Legislation.doc	Supplementary Document	Uploaded 2016-06-13	Available
SSB_KidHeightSBFit_110916.docx	Supporting Statement B	Uploaded 2016-11-09	Available
SSA_KidHeightSBFit_110916.docx	Supporting Statement A	Uploaded 2016-11-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221948	Att. I_Seat Beat Fit Measurements	Other-WORD	New
221945	Att. H_Screener Script Guide	Other-WORD	New

ICR Details

OMB Control No: 0920-1145	ICR Reference No: 201606-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16CA
Title: Update the Height Recommendation for Proper Seat Belt Fit among Children
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/15/2016
	Date Received in OIRA: 06/15/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved
Responses	809	0	0
Time Burden (Hours)	466	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Collect information needed to determine whether the 1993 height recommendation for proper seat belt fit among children is valid in the current vehicle fleet and among today's children.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service 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:
	80 FR 69223	11/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 38185	06/13/2016
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Att. I_Seat Beat Fit Measurements
Att. H_Screener Script Guide

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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	809	0	0	809	0	0
Annual Time Burden (Hours)	466	0	0	466	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: This is a new collection request for a new OMB Control Number.

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Annual Cost to Federal Government: $184,846

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: 06/15/2016

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