Change Request

Change Request

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

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

April 15, 2020

Summary

CDC’s WISEWOMAN information collection, OMB approval number 0920-0612, exp. 08/31/2022 is requesting to update the data collection burden. WISEWOMAN has received notification of additional funding from federal appropriations for FY 2020 that provide a $5,072,000 increase to fund additional programs. The number of programs will change from the current 24 to a maximum of 35 with a corresponding increase in the data collection burden. There are no changes to the Minimum Data Elements (MDEs) or response options or the WISEWOMAN program’s data collection and reporting system, used to screen, monitor, provide services to 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. A non-substantive change request was approved on 03/17/2020 (see Attachment 2c) to increase the number of respondents from 21 to 24 programs within (ICR Reference No: 202003-0920-006). This current change request is to increase the number of respondents from 24 to 35 for the currently approved collection.

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. The change request is simply to report that WISEWOMAN is seeking approval for information collection for up to 35 programs, an increase from the current 24 programs. As part of Federal Appropriations, the Joint Explanatory Statement of the Committee of Conference FY2020 (attached) list the amount of appropriations for WISEWOMAN on page 29 and states on page 33, “[t]he agreement provides an increase to fund additional grants to States to provide uninsured and under-insured, low-income women with lifesaving preventive services”. Furthermore, the increase for WISEWOMAN can be identified on page 1 in the Centers for Disease Control and Prevention Operating Plan (attached) for FY 2020 as $5,072,000. These two resources are publicly available, and it is important to note that this information is widely available through a variety of other public avenues. WISEWOMAN expects to onboard new additional programs after OMB approval for information collection, as this additional funding grants is specific to FY 2020.

Implementation Schedule

CDC is submitting this change request to OMB to provide implementation guidance to new programs starting in August 2020.

Effect on Burden Estimate

With the addition of additional programs there will be a corresponding change in burden. The burden tables with 24 programs and up to 35 programs are provided below.

With current 24 Programs :

Type of Respondents	Type of Collection	No. of Respondents	Annual Frequency per Response	Hours per Response	Total Hours
WISEWOMAN Programs	Screening and Assessment and Lifestyle Program MDEs	24	2	24	1152
	Annual Progress Report	24	1	16	384
	Total		3	40	1,536

With up to 35 Programs :

Type of Respondents	Type of Collection	No. of Respondents	Annual Frequency per Response	Hours per Response	Total Hours
WISEWOMAN Programs	Screening and Assessment and Lifestyle Program MDEs	35	2	24	1,680
	Net Change	+11			+528
	Annual Progress Report	35	1	16	560
	Net Change	+11			+176
	Total		3	40	2,240
	Net Change				+704

Attachments:

1. Joint Explanatory Statement of the Committee of Conference, FY 2020, House of Representatives and Senate, December 17, 2019. Available at https://appropriations.house.gov/sites/democrats.appropriations.house.gov/files/HR%201865%20-%20Division%20A%20-%20LHHS%20SOM%20FY20.pdf

2. Centers for Disease Control and Prevention Operating Plan, FY 2020. Available at https://www.cdc.gov/budget/documents/fy2020/fy-2020-cdc-operating-plan.pdf

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