Feasibility of Social Distancing in K-12 Schools in the United States

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
C6_Contractor-Recruitment Script.docx	Supplementary Document	Uploaded 2017-05-22	Available
C1_Contractor-Protocol_Social Distancing_OMB-Revised.docx	Supplementary Document	Uploaded 2017-05-22	Available
Supporting Statement B_Social Distancing2.docx	Supporting Statement B	Uploaded 2016-12-15	Available
Supporting Statement A_Social Distancing2_OMB-Response_Followup_051917cl....docx	Supporting Statement A	Uploaded 2017-05-22	Available
C5_CDC Human Subjects_Social Distancing.pdf	Supplementary Document	Uploaded 2016-12-15	Available
C4_Contractor IRB Approval_Social Distancing.pdf	Supplementary Document	Uploaded 2016-12-15	Available
C2_Contractor-Consent Form_Social Distancing.docx	Supplementary Document	Uploaded 2016-12-15	Available
B_60-Day Federal Register Notice_2016-18939.pdf	Supplementary Document	Uploaded 2016-12-15	Available
A3 - Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2016-12-15	Available
A2 - 42 CFR 70.pdf	Supplementary Document	Uploaded 2016-12-15	Available
A1 - Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2016-12-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
224856	Social Distancing in Schools Focus Group Guide	Instruction	New

ICR Details

OMB Control No: 0920-1184	ICR Reference No: 201612-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16AXB
Title: Feasibility of Social Distancing in K-12 Schools in the United States
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: 05/22/2017
	Date Received in OIRA: 12/22/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	12 Months From Approved
Responses	320	0	0
Time Burden (Hours)	640	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of the study is to identify social distancing strategies to reduce person-to-person contact among students and staff in K-12 schools that are implementable without causing major detrimental effects to ongoing education activities. Information collection will be done via 40 focus group discussions.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: PHSA
   US Code: 42 USC 241 Name of Law: PHSA
   US Code: 42 USC part 70 Name of Law: Interstate Quarantine
  

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 52872	08/10/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 93937	12/22/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Social Distancing in Schools Focus Group 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	320	0	0	320	0	0
Annual Time Burden (Hours)	640	0	0	640	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 ICR.

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Annual Cost to Federal Government: $384,000

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: 12/22/2016

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