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pdfPrint Date: 2/26/20
Title:
2020 CRSCI Recipients Meeting Evaluation
Project Id:
0900f3eb81ae441a
Accession #:
NCEH-AEVALT-2/25/20-e441a
Project Contact:
Govindu_Madhumita (ovp1)
Organization:
NCEH/ATSDR/DEHSP/ACHB/AEVALT
Status:
Pending Clearance
Intended Use:
Project Determination
Estimated Start Date:
03/11/2020
Estimated Completion Date:
03/11/2020
CDC/ATSDR HRPO/IRB Protocol #:
0923-0047
OMB Control #:
Determinations
Determination
Justification
Completed
Entered By & Role
HSC:
Does NOT Require HRPO
Review
Not Research
2/26/20
Davis_Stephanie I. (sgd8) CIO HSC
2/26/20
Davis_Stephanie I. (sgd8) CIO OMB / PRA
PRA:
PRA Applies
Description & Funding
Description
Priority:
Standard
Date Needed:
03/11/2020
Determination Start Date:
02/25/20
Description:
The Climate and Health Program (CHP) evaluation staff are intending to do an end-of-meeting evaluation on Day 2 of the Program's
2020 CRSCI Recipients#?? Meeting, which will take place March 10th and 11th. The information collection event is a one-time only
data collection, intended to generate feedback from attendees about the meeting so we can improve future meeting planning efforts.
The instrument has 11 questions #?? open ended and multiple choice. It will be collected live on Day 2 using PollEverywhere, and
will not take longer than 10 minutes to complete per respondent.
Goals/Purpose
The goal of this data collection event is to gather feedback on planning successes and failures for the 2020 CRSCI Recipients
Meeting. The data will be used to improve future meetings for attendees.
Objective:
The objective of this data collection event is to generate feedback that will be used to improve future grant recipients meetings.
Activities or Tasks:
New Collection of Information, Data, or Biospecimens
Target Populations to be Included/Represented:
Other
Tags/Keywords:
Climate and Health, Meeting Evaluation, Customer Satisfaction
CDC's Role:
CDC employees or agents will obtain or use anonymous or unlinked data or biological specimens
Method Categories:
Survey
Methods:
The data will be captured by a questionnaire, comprised of 11 multiple choice and open-ended question. Participation is voluntary
for all attendees, and no personally identifiable information will be collected.
Collection of Info, Data or Biospecimen:
Information will be collected anonymously using the PollEverywhere software.
Expected Use of Findings/Results:
These findings will be used to improve planning efforts for future grant recipient meetings.
Could Individuals potentially be identified based on
Information Collected?
No
Funding
Funding yet to be added .....
Review Attributes
Program Evaluation
Regulation and Policy
Do you anticipate this project will be submitted to
the IRB office
No
Estimated number of study participants
Population - Children
Population - Minors
Population - Prisoners
Population - Pregnant Women
Population - Emancipated Minors
Suggested level of risk to subjects Do you anticipate this project will be exempt research or non-exempt research
Requested consent process waviers
Informed consent for adults
No Selection
Children capable of providing assent
No Selection
Parental permission
No Selection
Alteration of authorization under HIPPA Privacy
Rule
No Selection
Requested documents of informed consent
Informed consent for adults
No Selection
Children capable of providing assent
No Selection
Parental permission
No Selection
Consent process shown in an understandable language
Reading level has been estimated
No Selection
Comprehension tool is provided
No Selection
Short form is provided
No Selection
Translation planned or performed
No Selection
Certified translation / translator
No Selection
Translation and back-translation to/from target
language(s)
No Selection
Other method
No Selection
Clinical Trial
Involves human participants
No Selection
Assigned to an intervention
No Selection
Evaluate the effect of the intervention
No Selection
Evaluation of a health related biomedical or
behavioral outcome
No Selection
Registerable clinical trial
No Selection
Other Considerations
Exception is requested to PHS informing those
bested about HIV serostatus
No Selection
Human genetic testing is planned now or in the
future
No Selection
Involves long-term storage of identfiable biological
specimens
No Selection
Involves a drug, biologic, or device
No Selection
Conducted under an Investigational New Drug
exemption or Investigational Device Exemption
No Selection
Institutions & Staff
Institutions
Institutions yet to be added .....
Staff
Staff Member
SIQT Exp.
Date
Chelsea Marie
Austin
12/14/2021
Maureen Wilce
04/27/2021
CITI Biomedical
Exp. Date
CITI Social & Behavioral
Exp. Date
11/30/2021
CITI Good Clinical
Practice Exp. Date
Staff Role
Email
Phone
Organization
CoInvestigator
ylm0@cdc.
gov
770-4887303
ASTHMA EVALUATION TEAM
Program
Lead
muw9@cdc.
gov
770-4881
ASTHMA AND COMMUNITY
HEALTH BRANCH
Data
DMP
Proposed Data Collection Start Date:
3/11/20
Proposed Data Collection End Date:
3/11/20
Proposed Public Access Level:
Non-Public
Non-Public Details:
Reason For Not Releasing Data:
Other - Not shareable as this data will only be used by internal planning team
Public Access Justification:
This data will only be used by internal CHP staff for future planning purposes.
How Access Will Be Provided for Data:
The data collection will only have the number of total respondents, a timestamp for each response, and the response itself. No
personally identifiable information will be collected.
Plans for Archival and Long Term Preservation:
The data will be saved on the CHP shared drive folder. A member of the CHP evaluation staff will perform preliminary analysis on
this data and make it available for use by all CHP staff members for future meeting planning efforts.
Spatiality
Country
State/Province
County/Region
United States
Georgia
DeKalb
Dataset
Dataset Title
Dataset yet to be
added...
Data Publisher
/Owner
Public Access
Level
Public Access
Justification
External Access
URL
Download
URL
Type of Data
Released
Collection Start
Date
Collection End
Date
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 2020-02-26 |