Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
4-Poster Deer Treatment Device Acceptability Survey	Form	New	Available
Att 9 - PCO Survey (1).doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 8 - Daily Survey.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 7 - Final Survey.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 6 - Monthly Survey.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 5 - Introductory Survey.doc	Supplementary Document	Uploaded 2019-07-18	Available
4. Consent Form_KAP surveys.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 3 - Screening Instrument.doc	Supplementary Document	Uploaded 2019-07-18	Available
2. 60-day FRN.pdf	Supplementary Document	Uploaded 2019-07-18	Available
1. Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2019-07-18	Available
Supporting Statement B_TBD KAP Surveys041619.docx	Supporting Statement B	Uploaded 2019-07-18	Available
Supp Statement A_TBD KAP Surveys 041619.docx	Supporting Statement A	Uploaded 2019-07-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240125	4-Poster Deer Treatment Device Acceptability Survey	Form	New

ICR Details

OMB Control No: 0920-1150	ICR Reference No: 201907-0920-004
Status: Active	Previous ICR Reference No: 201606-0920-021
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-16APN
Title: Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/23/2019
	Date Received in OIRA: 08/13/2019
Terms of Clearance: Previous terms continue: Collections submitted under this Generic are not designed to develop incidence or prevalence estimates. Information gathered under this OMB clearance will not be used for the purpose of substantially informing influential policy decisions, but are intended to inform future TBD prevention trials. All genICs will include a full SSA (and SSB if necessary) that clearly describes the need underlying the frequency of the collection and evidence supporting any incentives offered.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	12/31/2019
Responses	103,500	0	2,313,000
Time Burden (Hours)	28,749	0	296,490
Cost Burden (Dollars)	713,095	0	6,722,413

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Abstract: It is the goal of the Division of Vector-borne diseases (DVBD) to conduct surveys to evaluate knowledge, attitutes, and practices regarding ticks and tickborne diseases (TBDs) among residents and businesses offering pest control services in Lyme disease endemic areas of the US. The survey results will inform the implementation of future TBD prevention interventions. This is an extension without changes.

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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:
	84 FR 26109	06/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 40062	08/13/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
4-Poster Deer Treatment Device Acceptability Survey	none, none	CT survey ,   NY Survey

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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	103,500	2,313,000	0	-2,209,500	0	0
Annual Time Burden (Hours)	28,749	296,490	0	-267,741	0	0
Annual Cost Burden (Dollars)	713,095	6,722,413	0	-6,009,318	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The previously requested responses and time burden were mistakes and these numbers are more accurate estimations. The actual burden estimates did not change from last time, they were just entered incorrectly.

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Annual Cost to Federal Government: $653,000

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: 08/13/2019

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