Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Survey of non-Title X Clinic Administrators	Form	Modified	Available
Survey of Title X Clinic Administrators	Form	Modified	Available
Survey of non-Title X Clinic Providers	Form	Modified	Available
Survey of Title X Clinic Providers	Form	Modified	Repair queued
Survey of Office-based Physicians in Private Sector	Form	Modified	Available
Att K-1 References.pdf	Supplementary Document	Uploaded 2018-10-04	Available
Att J-2 IRB Non-research Determination.pdf	Supplementary Document	Uploaded 2018-10-04	Available
Att J-1 Signed Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2018-10-04	Available
Att I-3 Public-sector Follow-up Cover Letter for Administrator Survey.doc	Supplementary Document	Uploaded 2018-10-04	Repair queued
Att I-2 Public-sector Follow-up Cover Letter for Provider Survey.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att I-1 Private-sector Follow-up Cover Letter.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att H-1 Email to Private-sector Physician Non-Respondents.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att G-3 Public-sector Reminder Postcard for Administrator Survey.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att G-2 Public-sector Reminder Postcard for Provider Survey.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att G-1 Private-sector Reminder Postcard for Provider Survey.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att D-2 Public Sector Cover Letter.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att D-1 Private Sector Cover Letter.doc	Supplementary Document	Uploaded 2018-10-04	Available
Att C-2 Summary of Comments.pdf	Supplementary Document	Uploaded 2018-10-04	Available
Att C-1 60-day FRN.pdf	Supplementary Document	Uploaded 2018-10-04	Available
Att B-1 Summary of Survey Constructs.docx	Supplementary Document	Uploaded 2018-10-04	Available
Att A-1 Auth_Leg_Publ_Hlth_Svc_Act.doc	Supplementary Document	Uploaded 2018-10-04	Available
SS B Reinstatement 0920-0969.docx	Supporting Statement B	Uploaded 2018-10-04	Available
SS A Reinstatement 0920-0969.docx	Supporting Statement A	Uploaded 2018-10-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203904	Survey of non-Title X Clinic Administrators	Form	Modified
203903	Survey of Title X Clinic Administrators	Form	Modified
203902	Survey of non-Title X Clinic Providers	Form	Modified
203901	Survey of Title X Clinic Providers	Form	Modified
203900	Survey of Office-based Physicians in Private Sector	Form	Modified

ICR Details

OMB Control No: 0920-0969	ICR Reference No: 201810-0920-003
Status: Historical Active	Previous ICR Reference No: 201303-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0969
Title: Monitoring Changes in Attitudes and Practices among Family Planning Providers and Clinics
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/03/2018
	Date Received in OIRA: 11/01/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	12 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	1,916	0	0
Cost Burden (Dollars)	105,390	0	0

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Abstract: CDC plans to collect information from office-based physicians and public-section family planning providers and clinic administrators through mailed surveys to monitor changes in provider and clinic attitudes and practices among family planning providers in the US related to recommendations included in national contraceptive guidelines and assess changes from previous data collections carried out prior to publication or soon after release of these guidelines. Findings will be used to identify targeted training needs in use of guidance and family planning service delivery.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	83 FR 26687	06/08/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 54928	11/01/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Survey of Title X Clinic Providers	none, none	Survey of Health Care Providers about Family Planning Attitudes and Practices ,   Survey of Health Care Providers about Family Planning Attitude and Practices - screenshots
Survey of non-Title X Clinic Providers	none, none	Survey of Health Care Providers about Family Planning Attitudes and Practices ,   Survey of Health Care Providers about Family Planning Attitude and Practices - screenshots
Survey of Office-based Physicians in Private Sector	none, none	Survey of Health Care Providers about Family Planning Attitudes and Practices ,   Survey of Health Care Providers about Family Planning Attitude and Practices - screenshots
Survey of Title X Clinic Administrators	none, none	Survey of Administrators of Health Centers that provide Family Planning ,   Survey of Administrators of Health Centers that provide Family Planning - screenshots
Survey of non-Title X Clinic Administrators	none, none	Survey of Administrators of Health Centers that provide Family Planning ,   Survey of Administrators of Health Centers that provide Family Planning - screenshots

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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	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	1,916	0	0	1,916	0	0
Annual Cost Burden (Dollars)	105,390	0	0	105,390	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: The surveys will change slightly to eliminate unnecessary questions, add new questions of interest, modify response options, and improve formatting to skip patterns. There is a reduction in burden due to fewer respondents due to anticipated non-response and shorter survey response time.

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Annual Cost to Federal Government: $970,644

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: 11/01/2018

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