Implementing the 6|18 Initiative: Case Studies

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Interviews with State Medicaid Managers	Form and Instruction	New	Available
Interviews with State Medicaid Directors	Form and Instruction	New	Available
Interviews with State Public Health Managers	Form and Instruction	New	Available
Interviews with State Public Health Directors	Form and Instruction	New	Available
Privacy Act determintion ICRO 207-08-24.docx	Supplementary Document	Uploaded 2018-02-03	Available
Att 8. 6-18 States.docx	Supplementary Document	Uploaded 2018-02-03	Available
Att 7. 6-18 Conditions_Burden Cost Interventions_2017-09-13.docx	Supplementary Document	Uploaded 2018-02-03	Available
Att 6. 6-18-faqs.pdf	Supplementary Document	Uploaded 2018-02-03	Available
Att 5. IRB Determination.pdf	Supplementary Document	Uploaded 2018-02-03	Available
Att 4. Advance notice email_12192017.docx	Supplementary Document	Uploaded 2018-02-03	Available
Att 2. 60-day FRN_10132017.pdf	Supplementary Document	Uploaded 2018-02-03	Available
Att 1. Authorizing Legislation.doc	Supplementary Document	Uploaded 2018-02-03	Available
SS Part B_12192017.docx	Supporting Statement B	Uploaded 2018-02-03	Available
SS Part A_02062018.docx	Supporting Statement A	Uploaded 2018-02-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229955	Interviews with State Medicaid Managers	Form and Instruction	New
229954	Interviews with State Medicaid Directors	Form and Instruction	New
229953	Interviews with State Public Health Managers	Form and Instruction	New
229952	Interviews with State Public Health Directors	Form and Instruction	New

ICR Details

OMB Control No: 0920-1224	ICR Reference No: 201712-0920-010
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17BAM
Title: Implementing the 6|18 Initiative: Case Studies
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 without change	Conclusion Date: 04/11/2018
	Date Received in OIRA: 02/07/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved
Responses	29	0	0
Time Burden (Hours)	38	0	0
Cost Burden (Dollars)	2,518	0	0

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Abstract: The 6|18 Initiative describes CDC’s prioritization of six high-burden health conditions—tobacco use, high blood pressure, healthcare-associated infections, asthma, unintended pregnancies and diabetes—and an initial 18 evidence-based interventions to improve health and control health costs. The purpose of this information collection is to describe: 1. Facilitators and barriers to implementation of the 6|18 Initiative interventions; 2. How collaboration between public health and Medicaid contributed to success in implementing changes to Medicaid payment policy and/or increasing utilization of evidence-based preventive services; 3. How CDC’s 6|18 Initiative supported progress; and 4. How state-level factors facilitated, or posed barriers to, success.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service 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:
	82 FR 47738	10/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 5101	02/05/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Interviews with State Medicaid Directors	n/a	Interview Guide
Interviews with State Public Health Directors	n/a	Interview Guide
Interviews with State Public Health Managers	n/a	Interview Guide
Interviews with State Medicaid Managers	n/a	Interview 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	29	0	0	29	0	0
Annual Time Burden (Hours)	38	0	0	38	0	0
Annual Cost Burden (Dollars)	2,518	0	0	2,518	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, one-time collection.

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Annual Cost to Federal Government: $111,011

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

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: 02/07/2018

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