OSTLTS Generic Information Collection Request
OMB No. 0920-0879
Submitted: May 15, 2019
Program Official/Project Officer
Name: Noreen Qualls, DrPH, MSPH
Title: Health Scientist
Organization: Division of Global Migration and Quarantine (DGMQ)
Centers for Disease Control and Prevention (CDC)
Address: 1600 Clifton Road NE, MS V18-2
Atlanta, GA 30329-4027
Phone number: 404-639-8195
Fax number: 404-498-0830
Email: [email protected]
Section B – Data Collection Procedures 3
1. Respondent Universe and Sampling Methods 3
2. Procedures for the Collection of Information 3
3. Methods to Maximize Response Rates Deal with Nonresponse 5
4. Test of Procedures or Methods to be Undertaken 6
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data 6
Data will be collected from a universe of 878 state, territorial, and local public health officials comprised of 59 Directors of Public Health Preparedness of all 50 U.S. states, the District of Columbia (D.C.), and 8 U.S. territories, and a stratified random sample of 819 local health department (LHD) officials. Of the 819 LHD officials, respondents will include preparedness coordinators and/or local health officials (LHOs) from 385 small LHDs, 309 medium LHDs, and 125 large LHDs across 47 states. This sample was drawn from a universe of 2,051 LHDs for which NACCHO has contact information.
The selection criteria and sampling methods for the LHD survey were developed by a stakeholder engagement group (SEG). Members of the SEG included the following public health partners – Association of State and Territorial Health Officials (ASTHO), Council of State and Territorial Epidemiologists (CSTE), National Association of County and City Health Officials (NACCHO), and National Public Health Information Coalition (NPHIC). Eligible recipients were public health officials thought to be involved with emergency preparedness activities, experienced in pandemic influenza planning, and/or knowledgeable about community mitigation measures and non-pharmaceutical interventions (NPIs).
The sample was stratified based on the size of the population the LHD serves (small = 10,000 to 49,999; medium = 50,000 to 499,999; and large = 500,000 and above) and the U.S. Census region in which the LHD resides (Northeast, Midwest, South, and West). LHDs falling within each of the 12 stratifications were then randomly selected to match the distribution of the universe in each strata. Extra weight was given to large LHDs in all regions of the United States (U.S.) since these LHDs are fewer in number but serve a greater percentage of the U.S. population. LHDs serving a population of less than 10,000 were excluded from the sample, because they serve about 2% of the total U.S. population and they have limited staff, which creates undue response burden. In addition, Hawaii and Rhode Island do not have LHDs and, therefore, no recipients from those states were included in the sample for LHDs. Lastly, Florida was not included in the sample, as all data collection instruments distributed to LHDs in Florida must receive pre-clearance review and approval from the state health department in an effort to reduce response burden (see Attachment A: Respondent Universe and Sample Tables, which includes a summary of the LHD recipient groups broken down by strata of LHD size and geographic location).
Data will be collected via a one-time, web-based information collection instrument using SurveyMonkey for the Directors of Public Health Preparedness and using Qualtrics for the LHD preparedness coordinators and/or LHOs. The MayaTech Corporation is responsible for distributing the online assessment tool to the selected state/territorial recipients, and uses SurveyMonkey. NACCHO is responsible for distributing the online assessment tool to the selected LHD recipients, and uses Qualtrics (see Attachment C: Instrument Word Version, Attachment D: Instrument Web Version [using SurveyMonkey], and Attachment E: Instrument Web Version [using Qualtrics]).
Prospective respondents will be recruited through a notification (see Attachment F: Recruitment E-mail Invitation) to the respondent universe. The notification e-mail will explain:
The purpose of the data collection, and why their participation is important
Instructions for participating
Method to safeguard their responses
That participation is voluntary
The expected time to complete the instrument
Contact information for the project team
Participation of the assessment recipients is voluntary. They can opt not to participate, or to refuse to answer any question, or to withdraw from participation at any time without loss of any services or support from HHS or CDC.
Respondents will have 20 business days to complete the online assessment tool. The project task order contractor – the MayaTech Corporation – and cooperative agreement awardee – NACCHO – will send up to 3 e-mail notices through SurveyMonkey and Qualtrics to remind the state/territorial and local health department recipients, respectively, to complete the online assessment, utilizing motivating messages and expressing the importance of the information being collected (see Attachment G: Reminder E-mail Notice – No Response Yet and Attachment H: Reminder E-mail Notice – Partial Response). The e-mail notices will be distributed to non-respondents in intervals of 5 business days (not counting weekend days) during the open period. Those who do not respond within 10 days of the third (and final) reminder e-mail will be considered non-responders.
Data collected during the assessment will be kept on secure, password-protected servers accessible only to the MayaTech Corporation and NACCHO project team members. The MayaTech Corporation will develop a database of all quantitative and qualitative data collected and a data dictionary (catalogue or codebook) of the data variables, types, level of measurement, and value labels. To ensure clean and valid data, the MayaTech Corporation will conduct a structured data cleaning process in SPSS to check for errors, and will prepare a report of all errors found. At the completion of the project, the MayaTech Corporation will provide the data dictionary and database to CDC. CDC will own the data dictionary, data collected, and database.
The quantitative data collected will be analyzed by the MayaTech Corporation using distributional descriptive statistics (e.g., frequencies, means, and ranges). Additional analyses might be needed to compare subgroups of the population, or to examine measurements by strata (e.g., small, medium, and large LHDs). Sampling and non-response weights will be computed for each population size stratum to conduct weighted analysis of the LHD assessment data. In the computation of means, totals, and percentages, weighted values will be used. A finite population correction factor will be used for computing standard errors. Responses to qualitative, open-ended questions will be analyzed thematically. The qualitative, semi-structured responses will be entered into a qualitative analysis software (e.g., Atlas.ti, Dedoose, Nvivo, or QSR Nud*ist), which will assist in the identification and analysis of similar themes across all of the respondents. Cross-cutting themes that emerge will help highlight priority areas for future capacity-building efforts related to NPI pre-pandemic planning and preparedness.
The MayaTech Corporation will summarize and present the analysis of the data collected in a comprehensive summary report. Only aggregated responses of all the participating jurisdictions will be reported. At the completion of the project, the MayaTech Corporation will submit the summary report to CDC, which CDC will own.
Although participation in the data collection is voluntary, the project team will make every effort to maximize the rate of response. The data collection instrument was designed with a particular focus on streamlining questions to allow for skipping questions based on responses to previous questions, thereby minimizing response burden.
Following the distribution of the invitation to participate in the data collection, (see Attachment F: Recruitment E-mail Invitation), recipients will have 20 business days to complete the online assessment. Those who do not respond within 5 business days will receive the first of three reminder notices (see Attachment G: Reminder E-mail Notice – No Response Yet and Attachment H: Reminder E-mail Notice – Partial Response) urging them to complete the online assessment. Those who do not respond within 10 business days from the third (and final) reminder e-mail will be considered non-responders.
Several strategies will be employed to help maximize response rates, in addition to sending reminder e-mail notices. These strategies include mechanical techniques to ensure that the functional aspects of the data collection instrument are working properly; and structural techniques to ensure a respondent-friendly instrument in terms of the wording, sequencing, and formatting of the questions. Relying on the reputation of CDC as a recognized leader in public health and highlighting that the online assessment is from CDC in the recruitment e-mail invitation and reminder e-mail notices should help maximize response rates. Lastly, the actual implementation of the online assessment will be timed optimally to avoid other collection requests that may cause increased burden on the respondents if occurring concurrently with this data collection.
The estimate for burden hours is based on a pilot test of the online data collection instrument by 8 public health professionals. In the pilot test, the average time to complete the instrument including time for reviewing instructions, gathering needed information, and completing the instrument, was approximately 51 minutes (range: 24 to 90 minutes). For the purposes of estimating burden hours, the upper limit of this range (i.e., 90 minutes) is used.
CDC/Division of Global Migration and Quarantine
Name: Faruque Ahmed, MD, PhD, MPH
Title: Project Co-Lead/Senior Epidemiologist
Organization: Division of Global Migration and Quarantine (DGMQ)
Centers for Disease Control and Prevention (CDC)
Address: 1600 Clifton Road NE, MS V18-2
Atlanta, GA 30329-4027
Phone number: 404-718-8248
Fax number: 404-498-0830
Name: Hongjiang Gao, PhD, MPH
Title: Mathematical Statistician
Organization: Division of Global Migration and Quarantine (DGMQ)
Centers for Disease Control and Prevention (CDC)
Address: 1600 Clifton Road NE, MS V18-2
Atlanta, GA 30329-4027
Phone number: 404-639-7298
Fax number: 404-498-0830
Email: [email protected]
Name: Noreen Qualls, DrPH, MSPH
Title: Project Co-Lead/Senior Health Scientist
Organization: Division of Global Migration and Quarantine (DGMQ)
Centers for Disease Control and Prevention (CDC)
Address: 1600 Clifton Road NE, MS V18-2
Atlanta, GA 30329-4027
Phone number: 404-639-8195
Fax number: 404-498-0830
Email: [email protected]
The MayaTech Corporation
Name: Suzanne Randolph Cunningham, PhD
Title: Project Director/Chief Science Officer
Organization: The MayaTech Corporation
Address: 8401 Colesville Road, Suite 430
Silver Spring, MD 20910
Phone number: 301-587-1600 x 2401
Fax number: 301-587-1524
Name: Shelly Kowalczyk, MSPH, CHES
Title: Project Manager/Senior Technical Vice President
Organization: The MayaTech Corporation
Address: 8401 Colesville Road, Suite 430
Silver Spring, MD 20910
Phone number: 301-587-1600 x 2710
Fax number: 301-587-1524
Name: Min Qi (Mitch) Wang, PhD
Title: Senior Statistician
Organization: The MayaTech Corporation
Address: 8401 Colesville Road, Suite 430
Silver Spring, MD 20910
Phone number: 301-587-1600
Fax number: 301-587-1524
Name: Jamie Weinstein, MPH
Title: Senior Research Associate
Organization: The MayaTech Corporation
Address: 8401 Colesville Road, Suite 430
Silver Spring, MD 20910
Phone number: 301-587-1600
Fax number: 301-587-1524
National Association of County and City Health Officials (NACCHO)
Name: Christina Baum, MPH
Title: Senior Program Analyst, Infectious Diseases
Organization: NACCHO
Address: 1201 Eye Street, NW, Suite 400
Washington, DC 20005
Phone number: 202-507-4204
Fax number: 202-783-1583
Email: [email protected]
Name: Laura Biesiadecki, MPH
Title: Senior Director, Preparedness, Recovery and Response
Organization: NACCHO
Address: 1201 Eye Street, NW, Suite 400
Washington, DC 20005
Phone number: 202-507-4205
Fax number: 202-783-1583
Name: Debra Dekker, PhD
Title: Project Point-of-Contact/Director of Evaluation
Organization: NACCHO
Address: 1201 Eye Street, NW, Suite 400
Washington, DC 20005
Phone number: 202-640-4924
Fax number: 202-463-2985
Name: Lilly Kan, MPH
Title: Senior Director, Infectious Disease and Informatics
Organization: NACCHO
Address: 1201 Eye Street, NW, Suite 400
Washington, DC 20005
Phone number: 202-507-4238
Fax number: 202-783-1583
Email: [email protected]
Respondent Universe and Sample Tables
Instrument Word Version
Instrument Web Version (using SurveyMonkey)
Instrument Web Version (using Qualtrics)
Recruitment E-mail Invitation
Reminder E-mail Notice – No Response Yet
Reminder E-mail Notice – Partial Response
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