Justification for Change Request Approval

Change Request

Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System

(OMB no. 0920-0612, exp. date 08/31/2022)

January 6, 2020

Summary

CDC requests OMB approval for a non-substantive change to the approved WISEWOMAN information collection, OMB approval, 0920-0612, exp. 08/31/2022. WISEWOMAN was able to accommodate three additional programs with the current levels of funding. The number of programs went from 21 to 24 with a corresponding minor increase in the burden table. There are no changes to the Minimum data elements or response options. modify the WISEWOMAN program’s reporting system, used to both screen and monitor participants, and to evaluate and improve program efficacy. The current WISEWOMAN information collection consists of two parts, a Progress Report and Minimum Data Elements

Background

OMB first approved the information collection for WISEWOMAN, with a change, on November 30, 2003, ICR Reference No: 201301-0920-004. OMB approved an extension without change in 2007.

A revised information collection without change was approved in 2010. It was extended in 2013 with no change, and then a revised information collection was approved in 2013.

An extension without change was approved by OMB in 2016 and expired 12/31/2018. A non-substantive change request was approved on 05/03/2018, to delete obsolete MDEs. A three-year reinstatement without change, of a previously approved collection, was granted approval by OMB on 08/14/2019. This approval expires on 08/31/2022. This non-substantive change request is for this approved collection, ICR Reference No: 201905-0920-005.

The WISEWOMAN Program is designed to prevent, detect and control CVD risk factors through services such as health coaching, evidence-informed lifestyle programs, and smoking cessation referrals. This program supports health services such as clinical risk assessment of CVD risk factors, medical management of hypertension, healthy behavior support services, and community referral services for at-risk women between the ages of 40 to 64 years old, who are low income, underinsured or uninsured. The WISEWOMAN program was initiated in response to the Secretary of Health and Human Services’ Continuous Improvement Initiative, asking for the development of programs that examine ways in which service delivery can be improved for selected populations. WISEWOMAN was approved through a legislative supplement to the Breast and Cervical Cancer Mortality Prevention Act of 1990 (Public Law 101-354. CDC’s data collection authority for this study is in Section 301 of the Public Health Service Act [42 U.S.C. 241]. The WISEWOMAN program was authorized by the U.S. Congress in 1993, to fund state governments and tribal organizations.

Justification

The are no proposed changes to the approved collection. This change request is simply to report that three additional recipients were accommodated within the existing level of federal funding. Having 24 recipients instead of 21 recipients does slightly change the number of responses collected annually with a minor increase in burden.

Implementation Schedule

CDC is submitting this non-substantive change request to OMB to provide implementation guidance to programs starting June 1, 2020.

Effect on Burden Estimate

A minor change in burden is projected based on the increase of three additional programs. The burden with 21 recipients and 24 recipients is provided below.

With 21 Recipients:

Type of Respondents	Type of Collection	No. of Respondents	Annual Frequency per Response	Hours per Response	Total Hours
WISEWOMAN Recipients	Screening and Assessment and Lifestyle Program MDEs	21	2	24	1008
	Annual Progress Report	21	1	16	336
	Total		3	40	1,344

With 24 Recipients:

Type of Respondents	Type of Collection	No. of Respondents	Annual Frequency per Response	Hours per Response	Total Hours
WISEWOMAN Recipients	Screening and Assessment and Lifestyle Program MDEs	24	2	24	1152
	Net Change	+3			+144
	Annual Progress Report	24	1	16	384
	Net Change	+3			+48
	Total		3	40	1,536
	Net Change				+192

Attachments: None

Page 4