Prevention Communication Formative Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 OWH Health Professional Womens Health Survey Instrument	Form	New	Available
Form 1 Active Duty/Veteran Women Screening Instrument	Form	New	Available
Form 2 Active Duty/Veteran Women Discussion Guide	Form	New	Available
Form 1 Health Providers Screening Instrument	Form	New	Available
Form 2 Health Providers Interview Guide	Form	New	Repair queued
Form 2 Consumer Survey	Form	New	Available
Form 1 Screening Questions	Form	New	Available
0990-0281 Father Genric Supporting Statement _3.9.18_OMB ODPHP OMBRound2-OWH ODPHPdocx CLEAN.docx	Supporting Statement A	Uploaded 2018-09-13	Available
Father Generic SS_B_Stats 0990_0281_12.1.17.docx	Supporting Statement B	Uploaded 2018-03-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248856	HHS COVID-19 Public Education Campaign Parent & Teen Interview Dyads	Other-Attachment A Guide	New
244928	Audience: Mothers at Risk for Postpartum Depression	Other-Screening Instrument	New
235790	OWH Health Professional Women's Health Survey	Form	New	OWH Health Professional Womens Health Survey Instrument
235573	OWH Active Duty and Veteran Women Focus Groups	Form	New	Active Duty/Veteran Women Screening Instrument
235573	OWH Active Duty and Veteran Women Focus Groups	Form	New	Active Duty/Veteran Women Discussion Guide
235572	OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health	Form	New	Health Providers Screening Instrument
235572	OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health	Form	New	Health Providers Interview Guide
235529	Audience Research to Inform Physical Activity Guidelines Strategic Communication	Form	New	Consumer Survey
235529	Audience Research to Inform Physical Activity Guidelines Strategic Communication	Form	New	Screening Questions
230687	Health care professionals (focus group		New
230686	Health care professionals (interview)		New
230685	Health care professionals (screening)		New
230684	Consumers (cognitive tests)		New
230683	Consumers (gatekeeper reviews)		New
230682	Consumers (survey)		New
230681	Consumers (screening & intercepts)		New
230680	Consumers (focus groups)		New
230679	Consumers (qualitative testing)		New
230678	Consumers (screening)		New

ICR Details

OMB Control No: 0990-0281	ICR Reference No: 201803-0990-002
Status: Historical Active	Previous ICR Reference No: 201509-0990-002
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Prevention Communication Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/13/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/27/2018
Terms of Clearance: Approved consistent with the understanding that individual memos explaining the exact methods for information collection will be submitted for each study under this clearance as Gen ICs and data collection will not begin until approval is received for the individual Gen IC.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	03/31/2019
Responses	56,975	0	9,220
Time Burden (Hours)	19,950	0	1,497
Cost Burden (Dollars)	0	0	0

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Abstract: This generic clearance request describes data collection activities involving a limited set of focus groups, individual interviews, Web-based concept and prototype testing, and usability and effects testing to establish a deeper understanding of the interests and needs of consumers and health intermediaries for disease prevention and health promotion information and tools.

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Authorizing Statute(s): PL: Pub.L. 94 - 317 201 Name of Law: National Consumer Health Information and Health Promotion Act of 1976
   US Code: 44 USC 3502(2) Name of Law: COORDINATION OF FEDERAL INFORMATION POLICY
  

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 45600	09/29/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12012	03/19/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
Audience Research to Inform Physical Activity Guidelines Strategic Communication	1, 2	Screening Questions ,   Consumer Survey
Audience: Mothers at Risk for Postpartum Depression
Consumers (cognitive tests)
Consumers (focus groups)
Consumers (gatekeeper reviews)
Consumers (qualitative testing)
Consumers (screening & intercepts)
Consumers (screening)
Consumers (survey)
HHS COVID-19 Public Education Campaign Parent & Teen Interview Dyads
Health care professionals (focus group
Health care professionals (interview)
Health care professionals (screening)
OWH Active Duty and Veteran Women Focus Groups	2, 1	Active Duty/Veteran Women Discussion Guide ,   Active Duty/Veteran Women Screening Instrument
OWH Health Professional Women's Health Survey	1	OWH Health Professional Womens Health Survey Instrument
OWH In-Depth Interviews with Health Providers on Active Duty/Veteran Women's Health	2, 1	Health Providers Interview Guide ,   Health Providers Screening Instrument

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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	56,975	9,220	0	47,755	0	0
Annual Time Burden (Hours)	19,950	1,497	0	18,453	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: ODPHP is proposing the following program changes: 1. Revise purpose and justification to reflect office initiatives and priorities for the next 3 years. 2. Add intercept interviews, cognitive testing, omnibus surveys, and gatekeeper reviews as research methods to understand user characteristics, needs, and preferences. 3. Increase total burden hours to reflect upcoming formative research needs. 4. Increase estimated hourly rate of respondents due to cost of living increases.

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Annual Cost to Federal Government: $215,000

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: 03/27/2018

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