Backyard Integrated Tick Management Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Final Survey	Form	New	Available
Annual End of Year Survey	Form	New	Available
Daily Activity Survey	Form	New	Available
Form noen Monthly Tick Encounter Survey	Form	New	Available
Introductory Survey	Form	New	Available
BITM Eligibility Survey	Form	New	Available
Attachment O_Recruitment door hanger for CT.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment N_Recruitment door hanger for RI.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment M_Recruitment postcard.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment L_URI_IRB.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment K_WCSU IRB.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment J_CDC IRB.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment B_60-day FRN.pdf	Supplementary Document	Uploaded 2017-08-03	Available
Attachment A_Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2017-08-03	Available
Supporting Statement B template_Backyard Integrated Tick Management WCSU project_06282017.docx	Supporting Statement B	Uploaded 2017-08-03	Available
Supp St A _Backyard Integrated Tick Management _06282017.docx	Supporting Statement A	Uploaded 2017-08-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227804	Final Survey	Form	New	Final Survey
227803	End of Year Survey	Form	New	Annual End of Year Survey
227802	Daily Activity Survey	Form	New	Daily Activity Survey
227801	Monthly Survey	Form	New	Monthly Tick Encounter Survey
227800	Introductory Survey	Form	New	Introductory Survey
227799	Eligibility Survey	Form	New	BITM Eligibility Survey

ICR Details

OMB Control No: 0920-1203	ICR Reference No: 201708-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17ABD
Title: Backyard Integrated Tick Management Project
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/27/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/21/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved
Responses	3,001	0	0
Time Burden (Hours)	554	0	0
Cost Burden (Dollars)	24,202	0	0

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Abstract: The goal of the study is to 1) evaluate the effectiveness of specific tick control methods used on single versus multiple adjacent properties to suppress host-seeking ticks infected with Lyme disease spirochetes and to reduce human tick bites, and 2) to better understand human landscape use patterns and tick exposure locations. Resulting data will provide suggestions for improving tick/pathogen control methods used in the environment.

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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:
	82 FR 24707	05/30/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 39436	08/18/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Daily Activity Survey	none	Daily Activity Survey
Eligibility Survey	none	BITM Eligibility Survey
End of Year Survey	none	Annual End of Year Survey
Final Survey	none	Final Survey
Introductory Survey	none	Introductory Survey
Monthly Survey	noen	Monthly Tick Encounter Survey

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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	3,001	0	0	3,001	0	0
Annual Time Burden (Hours)	554	0	0	554	0	0
Annual Cost Burden (Dollars)	24,202	0	0	24,202	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 an existing collection without an OMB number. Burden totals are off by a few hours due to rounding.

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Annual Cost to Federal Government: $408,375

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/21/2017

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