Million Veteran Program (MVP) COVID-19 Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Generic PRA Sup Stmnt_MVP COVID-19 Survey_11022020.docx	Supplementary Document	Uploaded 2020-11-02	Repair queued
Memorandum_Request for Emergency PRA Clearance_MVP COVID-19 Response_10302020.pdf	Supplementary Document	Uploaded 2020-11-02	Repair queued
Supporting Stmnt A_MVP COVID-19 Survey_11022020.docx	Supporting Statement A	Uploaded 2020-11-02	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244341	Million Veteran Program (MVP) COVID-19 Survey	Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 202010-2900-015
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No: 2900-NEW
Title: Million Veteran Program (MVP) COVID-19 Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 11/10/2020
Date Submitted to OIRA: 11/02/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	4,000,000	0
Time Burden (Hours)	1,666,667	0
Cost Burden (Dollars)	0	0

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Abstract: The Million Veteran Program is conducting a survey of Veterans to collect data on their condition during the COVID-19 national health emergency. In response to the COVID-19 pandemic, all MVP participants will be invited to complete the MVP COVID-19 Survey. The survey collects demographics, COVID-19 symptoms and treatment, comorbidity, healthcare utilization, well-being, and psychosocial outcomes. MVP participants can complete the survey up to 4 times. MVP is uniquely positioned to analyze survey data in conjunction with biospecimens and assist with identification of potential biomarkers, as well as allow researchers to analyze the incidence and outcomes of COVID-19 using genomic data. The program office (PO) has submitted both a regular Supporting Statement A and a Generic Supporting Statement. If OMB determines that this survey qualifies for generic PRA clearance, then VHA PRA will change the ROCIS submission to generic.

Emergency Justfication: In response to the COVID-19 pandemic, all MVP participants will be invited to complete the MVP COVID-19 Survey. The survey collects demographics, COVID-19 symptoms and treatment, comorbidity, healthcare utilization, well-being, and psychosocial outcomes. MVP participants can complete the survey up to 4 times. MVP is uniquely positioned to analyze survey data in conjunction with biospecimens and assist with identification of potential biomarkers, as well as allow researchers to analyze the incidence and outcomes of COVID-19 using genomic data. In order to provide timely data and analysis to benefit Veterans during the COVID-19 national health emergency, the MVP respectfully requests an emergency PRA clearance by 11/10/2020.

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Authorizing Statute(s): US Code: 38 USC 7331 Name of Law: Informed Consent
  

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

Did the Agency receive public comments on this ICR? No

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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
Million Veteran Program (MVP) COVID-19 Survey

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	4,000,000	0	0	4,000,000	0	0
Annual Time Burden (Hours)	1,666,667	0	0	1,666,667	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 and all burden hours are considered a program increase.

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Annual Cost to Federal Government: $2,832,172

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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? Yes

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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: 11/02/2020

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