Non-Substantive Change Request Justification

Change Request

Zika Reproductive Health and Emergency Response Call-Back Survey, 2018

(OMB no. 0920-1223, exp. date 4/30/2021)

May 24, 2018

Summary

We request the following: OMB approval of a Spanish translation of the currently approved English version of 1) the Recruitment Script, and 2) the Survey and Consent.

Attachments

4S. ZRHER Recruitment Script SPANISH

5S. ZRHER Survey and Consent SPANISH

Background and Justification

CDC is currently approved to collect information to assess the extent to which women of reproductive age (18-49 years): are being screened for potential travel related exposure to Zika and other infectious diseases, are knowledgeable about recommendations for pregnancy timing in regards to Zika exposure, and are prepared for public health emergencies, including natural disasters like the recent hurricanes along the Gulf Coast and Caribbean. Information is to be collected using a population-based telephone survey representative of reproductive age women: eligible participants who completed the Behavioral Risk Factor Surveillance System main survey (BRFSS; OMB Control No. 0920-1061) and consent to participate, will be re-contacted to obtain more in depth information.

A Spanish version of the survey is being requested for states with substantial Spanish speaking populations.

Burden Estimate

No change to the burden estimate is requested.

Effect of Proposed Changes on Currently Approved Instruments and Attachments

None. The requested change does not affect any other component of the information collection.