Evaluation of CDC’s STEADI Older Adult Fall Prevention Initiative in a Primary Care Setting

ICR 202007-0920-011

OMB: 0920-1281

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2020-07-15
Justification for No Material/Nonsubstantive Change
2020-07-15
Justification for No Material/Nonsubstantive Change
2020-04-09
Supplementary Document
2019-10-16
Supplementary Document
2019-10-16
Supplementary Document
2019-10-16
Supplementary Document
2019-10-16
Supplementary Document
2019-10-16
Supplementary Document
2019-10-16
Supporting Statement B
2019-10-16
Supporting Statement A
2019-10-16
ICR Details
0920-1281 202007-0920-011
Active 202004-0920-007
HHS/CDC 0920-1281-20QQ
Evaluation of CDC’s STEADI Older Adult Fall Prevention Initiative in a Primary Care Setting
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/27/2020
Retrieve Notice of Action (NOA) 07/15/2020
Previous terms continue: Approved consistent with the understanding that CDC will not be conducting any general research on the information collected. When communicating findings from this collection, all publications will clearly describe the scope and limitations of the study findings.
  Inventory as of this Action Requested Previously Approved
01/31/2023 01/31/2023 01/31/2023
4,928 0 4,928
1,174 0 1,174
0 0 0

The goal of this study is to evaluate CDC's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative in a primary care setting. This formative evaluation will determine the impact of both the comprehensive and selected components of STEADI on falls and fall injuries. The data collected from this study will be used to: (1) demonstrate the impact of STEADI and different components of STEADI on falls and fall injuries in a primary care setting and (2) improve the implementation of STEADI in a primary care setting. This change request is to allow for virtual survey responses due to COVID restrictions.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 24150 05/24/2019
84 FR 57434 10/25/2019
Yes

5
IC Title Form No. Form Name
Operations Manager Interivew 0920-19ARD Operations Manager Interview
Follow-up Survey none Follow up survey
Baseline Survey none Baseline survey
Provider Interview Guide none Provider interview guide
Consent Form 0920-19ARD Consent Form

  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 4,928 4,928 0 0 0 0
Annual Time Burden (Hours) 1,174 1,174 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$373,562
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Shari Steinberg 404 639-4942 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/15/2020


© 2024 OMB.report | Privacy Policy