Assessment of a Training Program to Improve Continuity of Care for Children and Families Affected by Fetal Alcohol Spectrum Disorders (FASD)

ICR 202107-0920-006

OMB:

Federal Form Document

Forms and Documents
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Form and Instruction
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Supporting Statement A
2021-07-15
Supplementary Document
2021-07-14
Supplementary Document
2021-07-14
Supplementary Document
2021-07-14
Supporting Statement B
2021-07-14
ICR Details
202107-0920-006
Received in OIRA
HHS/CDC 0920-21DJ
Assessment of a Training Program to Improve Continuity of Care for Children and Families Affected by Fetal Alcohol Spectrum Disorders (FASD)
New collection (Request for a new OMB Control Number)   No
Regular 07/19/2021
  Requested Previously Approved
36 Months From Approved
870 0
223 0
19,375 0

The purpose of this data collection is to evaluate a newly developed pediatric resident training curriculum regarding identification, referral and care of children with fetal alcohol spectrum disorders (FASD) and their families. Information will be collected by the American Academy of Pediatrics (AAP) staff through paper-and-pencil surveys for in-person training of attending physicians and by a secure online platform (Qualtrics) for resident trainees as well as the overall program evaluations for attending physicians. Attending physicians will also be asked to participate in a final project debriefing conference call. The overall objective of the training program is to improve recognition, diagnosis and treatment for children with FASD to improve their developmental, cognitive and educational outcomes.

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

Not associated with rulemaking

  86 FR 13391 03/08/2021
86 FR 38101 07/19/2021
No

15
IC Title Form No. Form Name
Attending Physicians Application n/a Application Survey for the Improving Continuity of Care for Children and Families Affected by Prenatal Alcohol Exposure
Attending Physicians Debriefing n/a Attending Physician Debrief Questionnaire - Facilitator Guide
Attending Physicians Educational Care (post-test) n/a Educational Care for Children Affected by Prenatal Alcohol Exposure (post-training evaluation survey)
Attending Physicians Educational Care (pre-test) n/a Educational Care for Children Affected by Prenatal Alcohol Exposure (pre-training evaluation survey)
Attending Physicians Overall Program Assessment n/a FASD Precepting Attending Program Evaluation
Attending Physicians Overcoming Social Attitudes (post-test) n/a Overcoming Social Attitudes as a Barrier to Early Identification of FASD (post-training evaluation survey)
Attending Physicians Overcoming Social Attitudes (pre-test) n/a Overcoming Social Attitudes as a Barrier to Early Identification of FASD (pre-training evaluation survey)
Attending Physicians Screening & Diagnosis (post-test) n/a FASD: Screening, Assessment, & Diagnosis (post-training evaluation survey)
Attending Physicians Screening and Diagnosis (pre-test) n/a FASD: Screening, Assessment, & Diagnosis (pre-training evaluation survey)
Attending Physicians Training Program Assessment n/a FASD Train the Trainer Session Evaluation
Attending Physicians Treatment Across the Lifespan (post-test) n/a Treatment Across the Lifespan for Persons with FASD (post-training evaluation survey)
Attending Physicians Treatment Across the Lifespan (pre-test) n/a Treatment Across the Lifespan for Persons with FASD (pre-training evaluation survey)
Resident Overall Effects & Prevalence Video Post-test n/a Post-training Evaluation Survey
Resident Overall Effects & Prevalence Video Pretest n/a Pre-training Evaluation Survey
Resident Overall Program Assessment n/a Resident-Trainee Overall Program Evaluation

  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 870 0 0 870 0 0
Annual Time Burden (Hours) 223 0 0 223 0 0
Annual Cost Burden (Dollars) 19,375 0 0 19,375 0 0
Yes
Miscellaneous Actions
No
This is a new, one-time information collection request.

$97,804
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Renita Macaluso 770 488-6458 [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.
07/19/2021


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