Understanding Multi-Sectoral Collaboration for Strengthening Public Health Capacities in Ethiopia

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-18ATK Collaboration Questionnaire: Feedback Form	Form and Instruction	New	Available
Form 0920-18ATK Understanding Collaboration Questionnaire	Form and Instruction	New	Available
Form 0920-18ATK In-Depth Interviews Guide	Form and Instruction	New	Available
AttH-Human Subjects Research Exemption.docx	Supplementary Document	Uploaded 2018-11-14	Available
AttG-EmailReminder.docx	Supplementary Document	Uploaded 2018-11-14	Available
AttF-EmailRequest.docx	Supplementary Document	Uploaded 2018-11-14	Available
AttB-60DayFRN-CDC-2018-0075-0001.pdf	Supplementary Document	Uploaded 2018-11-14	Available
Attachment A - Authorizing Legislation.docx	Supplementary Document	Uploaded 2018-11-14	Available
SSB-MultiSectorCollab Ethiopia QNH edits_SDedits - 190130.docx	Supporting Statement B	Uploaded 2019-01-31	Available
SSA-MultiSectorCollab Ethiopia V3_190128 - clean.docx	Supporting Statement A	Uploaded 2019-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234035	Collaboration Questionnaire: Feedback Form	Form and Instruction	New
234034	Understanding Collaboration Questionnaire	Form and Instruction	New
234033	In-Depth Interviews Guide	Form and Instruction	New

ICR Details

OMB Control No: 0920-1249	ICR Reference No: 201811-0920-005
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-18ATK
Title: Understanding Multi-Sectoral Collaboration for Strengthening Public Health Capacities in Ethiopia
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 with change	Conclusion Date: 02/04/2019
	Date Received in OIRA: 11/27/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	24 Months From Approved
Responses	200	0	0
Time Burden (Hours)	320	0	0
Cost Burden (Dollars)	12,484	0	0

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Abstract: The goal of this study is to explore multi-sectoral collaboration in Ethiopia, in the context of strengthening public health capacities under the Global Health Security Agenda (GHSA). As GHSA implementation has progressed, it is unknown how collaboration across sectors is occurring in Ethiopia, and how it may be similar or different across the technical areas of GHSA. The information collected in this study will be used by CDC technical experts to improve their collaboration efforts, and can also be utilized by partner nations and stakeholders to explore ways to enhance their own partnerships for improving public health systems and overall global health security.

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Authorizing Statute(s): US Code: 42 USC 241 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 42656	08/23/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 60872	11/27/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Collaboration Questionnaire: Feedback Form	0920-18ATK	Questionnaire Feedback
In-Depth Interviews Guide	0920-18ATK	IDI Guide
Understanding Collaboration Questionnaire	0920-18ATK	Questionnaire

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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	200	0	0	200	0	0
Annual Time Burden (Hours)	320	0	0	320	0	0
Annual Cost Burden (Dollars)	12,484	0	0	12,484	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 ICR

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Annual Cost to Federal Government: $27,471

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: 11/27/2018

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