The Childcare Survey of Activity and Wellness (C-SAW) Pilot Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-19VJ Survey	Form and Instruction	New	Available
Form 0920-19VJ Recruitment Letter	Form and Instruction	New	Available
18VJ Privacy Narrative Final.pdf	Supplementary Document	Uploaded 2019-08-01	Available
18VJ Att 6 - IRB Ltr Final.docx	Supplementary Document	Uploaded 2019-08-01	Available
18VJ Att 5a-b Followup Materials Final.docx	Supplementary Document	Uploaded 2019-08-01	Available
18VJ Att 2a-b 60-day FRN & Comments Final.docx	Supplementary Document	Uploaded 2019-08-01	Available
18VJ Att 1 Legislative Authority Final.docx	Supplementary Document	Uploaded 2019-08-01	Available
18VJ SSB Final.docx	Supporting Statement B	Uploaded 2019-08-01	Available
18VJ SSA Final ICRO.docx	Supporting Statement A	Uploaded 2019-08-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237213	Survey	Form and Instruction	New
237212	Recruitment Letter	Form and Instruction	New

ICR Details

OMB Control No: 0920-1277	ICR Reference No: 201907-0920-009
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-19VJ
Title: The Childcare Survey of Activity and Wellness (C-SAW) Pilot Study
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 without change	Conclusion Date: 12/03/2019
	Date Received in OIRA: 08/26/2019
Terms of Clearance: Approved consistent with the understanding that CDC will consult with USDA and ACF in the formative development of surveillance approaches.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	12 Months From Approved
Responses	1,767	0	0
Time Burden (Hours)	409	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This project aims to collect information from a sample of early care and education (ECE) directors in 4 states to examine the extent to which ECE centers are meeting obesity prevention best practices. This pilot study's purpose is two-fold. First, it will be used to understand the current policies and practices of ECE providers in 4 states. Second, it will be used to inform the development of a potential national surveillance system enabling states and CDC to track change over time and obtain data to guide the planning, implementation and evaluation of state ECE obesity prevention efforts.

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

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 12615	04/02/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 44621	08/26/2019
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Survey	0920-19VJ	CSAW Questionnaire
Recruitment Letter	0920-19VJ	Recruitment Letter

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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	1,767	0	0	1,767	0	0
Annual Time Burden (Hours)	409	0	0	409	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.

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Annual Cost to Federal Government: $184,348

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: 08/26/2019

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