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

Forms and Documents

Document Name	Status
Form 0920-1277 CSAW Questionnaire Form and Instructi	Modified
Form 0920-1277 Recruitment Letter Form and Instructi	Modified
Att 2b 0920-1277 60 day FRN - public comment.pdf Supplementary Document	2020-12-31
60d FRN - published.pdf Supplementary Document	2020-12-31
Att 5a-b Followup Materials CSAW Final 11 30 2020.docx Supplementary Document	2020-12-31
Att 6 - IRB approval 11 30 2020.pdf Supplementary Document	2020-12-31
18VJ Privacy Narrative Final.pdf Supplementary Document	2019-08-01
18VJ Att 1 Legislative Authority Final.docx Supplementary Document	2019-08-01
SSB CSAW Final 12 1 2020.docx Supporting Statement B	2020-12-31
SSA CSAW Final 12 3 2020.docx Supporting Statement A	2020-12-31

IC Document Collections

IC ID	Document Title	Status
237213	CSAW Questionnaire Form and Instructi	Modified
237212	Recruitment Letter Form and Instructi	Modified

ICR Details

OMB Control No: 0920-1277	ICR Reference No: 202012-0920-012
Status: Received in OIRA	Previous ICR Reference No: 201907-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1277
Title: The Childcare Survey of Activity and Wellness (C-SAW) Pilot Study
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/31/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	1,767	1,767
Time Burden (Hours)	513	409
Cost Burden (Dollars)	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 inform state's ECE work. This request for Revision is submitted for a two year extension that is needed due to early care and education center closures because of the COVID-19 pandemic. CDC is also seeking to add 14 COVID-19 related questions to the survey

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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:
	85 FR 68883	10/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 86932	12/31/2020
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
CSAW Questionnaire	0920-1277	CSAW Questionnaire
Recruitment Letter	0920-1277	Recruitment Letter

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ICR Summary 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	1,767	1,767	0	0	0	0
Annual Time Burden (Hours)	513	409	0	104	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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Revision is requested to extend collection due to COVID related closures and to add COVID questions to previously approved survey.

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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? No

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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: 12/31/2020

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