Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA WHNS _5_15_2019.docx	Supporting Statement A	Uploaded 2019-05-23	Available
Attachment J_Study Contact Information.docx	Supplementary Document	Uploaded 2019-02-07	Available
Attachment I WHNS Study Invite Card.docx	Supplementary Document	Uploaded 2019-02-07	Available
Att E CDC IRB approval WHNS.doc	Supplementary Document	Uploaded 2019-02-07	Available
Att D_PIA WHNS (09-28-18).pdf	Supplementary Document	Uploaded 2019-02-07	Available
Att C1_60 Day FRN.pdf	Supplementary Document	Uploaded 2019-02-07	Repair queued
Att B Advisory Panel Experts Consulted_11-13-2017.docx	Supplementary Document	Uploaded 2019-02-07	Repair queued
Att A Authorizing Legislation - WHNS_PHS Act (42 USC 241).pdf	Supplementary Document	Uploaded 2019-02-07	Available
SS B_WHNS_5_15_2019.docx	Supporting Statement B	Uploaded 2019-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234873	Women's Health Needs STUDY_QUESTIONNAIRE	Other-WORD English translations	New
234870	Women's Health Needs STUDY_SCREENER	Other-WORD	New

ICR Details

OMB Control No: 0920-1264	ICR Reference No: 201812-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-18JC
Title: Women’s Health Needs Study: The Health of US-Resident Women from Countries with Prevalent Female Genital Mutilation/Cutting (FGM/C)
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: 05/28/2019
	Date Received in OIRA: 02/08/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved
Responses	1,067	0	0
Time Burden (Hours)	356	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This study will assess the health characteristic, experiences, and needs of women living in the United States who have experienced Female Genital Mutilation/Cutting (FGM/C) or are at risk for FGM/C because they or their mothers were born in a country where FGM/C is prevalent. Using a venue-based and respondent-driven sampling method for recruiting hard-to-reach populations, women who are eligible and consent will be asked to complete a one-time survey.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12194	03/20/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 2509	02/07/2019
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Women's Health Needs STUDY_QUESTIONNAIRE
Women's Health Needs STUDY_SCREENER	0920-18JC	Women's Health Need STUDY_Screener

---

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	1,067	0	0	1,067	0	0
Annual Time Burden (Hours)	356	0	0	356	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: This is a NEW collection request for a new OMB Control Number.

---

Annual Cost to Federal Government: $261,019

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

---

Common Form ICR:  No

---

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: 02/08/2019

---