Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

ICR 201607-0920-003

OMB: 0920-1118

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2016-07-14
Supporting Statement A
2016-06-27
Supplementary Document
2016-06-17
Supplementary Document
2016-06-17
Supplementary Document
2016-06-17
Supporting Statement B
2016-06-17
Supplementary Document
2016-06-10
Supplementary Document
2016-06-10
Supplementary Document
2016-06-10
ICR Details
0920-1118 201607-0920-003
Historical Active 201606-0920-019
HHS/CDC 16ATJ
Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/17/2016
Approved without change 07/14/2016
Retrieve Notice of Action (NOA) 07/14/2016
  Inventory as of this Action Requested Previously Approved
12/31/2016 12/31/2016 12/31/2016
2,900 0 2,900
892 0 892
0 0 0

CDC requests an Emergency Clearance to collect data for six months. The goal of this project is to find out if interventions are reaching pregnant women and having the intended effects along with getting feedback from pregnant women about the Zika prevention activities that have been implemented (e.g., Zika education sessions and prevention kits, vector control services, and communication activities). Findings will be used to improve the delivery of interventions and to inform decisions about future Zika prevention activities for pregnant women in Puerto Rico.
CDC needs this assessment to ensure that Zika prevention activities effectively educate, equip, and encourage women to participate in as many Zika prevention behaviors as possible. On-going evaluation is an important part of this program because it can reveal novel ways that women protect themselves from Zika, how effective the distribution of the Zika Prevention Kit has been in Puerto Rico, perceived severity and susceptibility to Zika, pregnant women’s self-efficacy in protecting themselves from Zika after the interventions have been implemented, as well as the extent to which target populations are using contents of the Zika Prevention Kit.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

No

  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 2,900 2,900 0 0 0 0
Annual Time Burden (Hours) 892 892 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$60,829
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.
07/14/2016


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