Evaluating Supporting Nursing Moms at Work

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30-day Federal Register, Volume 82 Issue 24 (Tuesday, February 7, 2017).htm	Supplementary Document	Uploaded 2017-03-09	Repair queued
0990 60day Federal Register, Volume 81 Issue 209 (Friday, October 28, 2016).htm	Supplementary Document	Uploaded 2017-03-09	Available
0990-SNMAW_Section B Statistical Methods 4.25.17.doc	Supporting Statement B	Uploaded 2017-04-25	Available
0990-SS_A SNMAW Final Package 4.25.2017 (3).docx	Supporting Statement A	Uploaded 2017-04-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225500	Employer/ Supervisor interview Form	Other-form	New
225499	HR Interview Form	Other-form	New
225498	Women who Express Milk at work interview form	Other-form	New

ICR Details

OMB Control No: 0990-0456	ICR Reference No: 201701-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluating Supporting Nursing Moms at Work
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: 04/26/2017
	Date Received in OIRA: 03/10/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved
Responses	180	0	0
Time Burden (Hours)	180	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: A Section of the Affordable Care Act (ACA) requires employers to provide basic breastfeeding accommodations for nursing mothers at work. These include a functional space, other than a bathroom, that is shielded from view and intrusion from coworkers and reasonable break time for women to express milk. OWH implemented outreach to businesses and industries across the nation to determine perceived barriers to compliance to this requirement, and became acutely aware of the sparse amount of information and resources that target worksite lactation needs and challenges of these employers.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: The Public Health Service Act
   PL: Pub.L. 111 - 148 2 Name of Law: Affordable Care 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 75139	10/28/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 9570	02/07/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Women who Express Milk at work interview form
HR Interview Form
Employer/ Supervisor interview Form

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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	180	0	0	180	0	0
Annual Time Burden (Hours)	180	0	0	180	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: New Collection

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Annual Cost to Federal Government: $21,206

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]? Yes

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: 03/10/2017

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