CDC I-Catalyst Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Travelers Health with Travelers (NCEZID)	Form and Instruction	New	Available
Community-based Mosquito Surveillance - Maternal Child Health Providers [MHPs] (NCEZID)	Form and Instruction	New	Available
DSNS Communication Tool for Situational Awareness (OPHPR)	Form and Instruction	New	Available
Behavioral Health Data for Response Efforts: Interviews with Non-governmental Organizations (CSELS)	Form and Instruction	New	Available
Behavioral Health Data for Response Efforts: Interviews with State, Tribal and Local Government Authorities (CSELS)	Form and Instruction	New	Available
Travelers Health - Travel Industry (NCEZID)	Form and Instruction	New	Available
Occupational Safety Resources (NIOSH)	Form and Instruction	New	Available
HIV Guidelines (NCHHSTP)	Form and Instruction	New	Available
Influenza Surveillance (NCIRD)	Form and Instruction	New	Available
Rapid Digitized Mapping (NCEZID)	Form and Instruction	New	Repair queued
Community-based Mosquito Surveillance - Pregnant Women (NCEZID)	Form and Instruction	New	Available
Att. 3 ICatalyst Interview Protocol Guide _Questions.docx	Supplementary Document	Uploaded 2016-11-14	Available
Att. 7 Fast_Track_GenIC_Request I-Catalyst Checklist.docx	Supplementary Document	Uploaded 2016-11-14	Available
Attachment 6 Privacy Act & Confidentiality.docx	Supplementary Document	Uploaded 2016-11-14	Available
Att. 5 IRB Project Determination Form and protocol guide_2015 HRPO jkc.docx	Supplementary Document	Uploaded 2016-11-14	Available
Att. 4 I-Catalyst Cusotmer Discovery Meth Slides.pdf	Supplementary Document	Uploaded 2016-11-14	Available
Att. 2b I-Cat 60Day FRN Comment Response.pdf	Supplementary Document	Uploaded 2016-11-14	Available
Att. 2a 60Day FRN COMMENT_D_CDC201600500002.pdf	Supplementary Document	Uploaded 2016-11-14	Available
Att. 2 60 Day FRN 2016-0920-16AOW CDC I-Catalyst.pdf	Supplementary Document	Uploaded 2016-11-14	Available
Att 1. PH Service Act_ICR -ICATALYST 10_2016.pdf	Supplementary Document	Uploaded 2016-11-14	Available
ICatalyst Supporting Statements B 11-10-16.docx	Supporting Statement B	Uploaded 2016-11-14	Available
ICatalyst Supporting Statements A 11-10-16_OMB.docx	Supporting Statement A	Uploaded 2017-01-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229049	Travelers Health with Travelers (NCEZID)	Form and Instruction	New
229048	Community-based Mosquito Surveillance - Maternal Child Health Providers [MHPs] (NCEZID)	Form and Instruction	New
228894	DSNS Communication Tool for Situational Awareness (OPHPR)	Form and Instruction	New
228864	Behavioral Health Data for Response Efforts: Interviews with Non-governmental Organizations (CSELS)	Form and Instruction	New
228798	Behavioral Health Data for Response Efforts: Interviews with State, Tribal and Local Government Authorities (CSELS)	Form and Instruction	New
228742	Travelers Health - Travel Industry (NCEZID)	Form and Instruction	New
228603	Occupational Safety Resources (NIOSH)	Form and Instruction	New
228602	HIV Guidelines (NCHHSTP)	Form and Instruction	New
228601	Influenza Surveillance (NCIRD)	Form and Instruction	New
228599	Rapid Digitized Mapping (NCEZID)	Form and Instruction	New
228594	Community-based Mosquito Surveillance - Pregnant Women (NCEZID)	Form and Instruction	New
226828	IIU Design Sprint	Other-Interview Guide	New
226724	Division of Global HIV and TB	Other-Interview Guide	New
226564	Data Hub	Other-Interview Guide	New
226563	Respiratory Protective Device Stockpiles	Other-Interview Guide	New
226562	Sudden Infant Death and Investigation Report Form	Other-Interview Guide	New

ICR Details

OMB Control No: 0920-1158	ICR Reference No: 201611-0920-005
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AOW
Title: CDC I-Catalyst Program
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: 01/23/2017
	Date Received in OIRA: 11/16/2016
Terms of Clearance: Approved consistent with the understanding that collections submitted under this Generic will be conducted by CDC I-Catalyst project teams. These collections aim to solicit information from specific stakeholder groups that will collect qualitative outcomes intended to be utilized internally and not generalizable to broader populations. All substudies submitted under this OMB control number will include an abbreviated supporting statement part A (and Part B if necessary) and confirm that no incentives will be provided to responding participants.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved
Responses	3,000	0	0
Time Burden (Hours)	1,500	0	0
Cost Burden (Dollars)	87,480	0	0

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Abstract: I-Catalyst program is intended to help CDC employees develop ideas into solutions that address customer need and show value through a discovery, ideation, and prototyping process. Insights gathered from information collection will be gathered from informal, voluntary interviews and observations to assess how to best solve the problems of their customers rather than creating solutions that are not usable. Resulting data will be used for internal CDC decision making and to provide suggestions for improving development of public health solutions.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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 38707	06/14/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 80058	11/15/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
HIV Guidelines (NCHHSTP)	n/a	Interview Guide
Respiratory Protective Device Stockpiles
Occupational Safety Resources (NIOSH)	n/a	Occupational Safety Resources Interview Protocol Guide and Questions
Community-based Mosquito Surveillance - Pregnant Women (NCEZID)	n/a	Community-based Mosquito Surveillance – Pregnant Women Interview Guide and Questions
Travelers Health - Travel Industry (NCEZID)	n/a	Travel Industry Interview Protocol Guide and Questions
DSNS Communication Tool for Situational Awareness (OPHPR)	n/a	Interview Protocol Guide and Questions
Behavioral Health Data for Response Efforts: Interviews with State, Tribal and Local Government Authorities (CSELS)	n/a	Behavioral Health Data for Response Efforts Interview Protocol Guide and Questions
Sudden Infant Death and Investigation Report Form
IIU Design Sprint
Data Hub
Rapid Digitized Mapping (NCEZID)	n/a	NCEZID Rapid Digitized Mapping Interview Protocol Guide and Questions
Behavioral Health Data for Response Efforts: Interviews with Non-governmental Organizations (CSELS)	n/a	Interview Guide and Questions for Non-governmental Organizations
Travelers Health with Travelers (NCEZID)	n/a	Interview Guide
Division of Global HIV and TB
Community-based Mosquito Surveillance - Maternal Child Health Providers [MHPs] (NCEZID)	n/a	Interview Guide for Material-Child Health Providers
Influenza Surveillance (NCIRD)	n/a	NCIRD Influenza Surveillance Interview Protocol Guide and Questions

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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	3,000	0	0	3,000	0	0
Annual Time Burden (Hours)	1,500	0	0	1,500	0	0
Annual Cost Burden (Dollars)	87,480	0	0	87,480	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 generic clearance request.

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Annual Cost to Federal Government: $123,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 11/16/2016

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