Validated Interview and Survey of Outpatient Providers on Antibiotic Stewardship Interventions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1308 Validated Survey Instrument	Form	Modified	Repair queued
Survey	Form	Modified	Available
Survey	Form	Modified	Repair queued
SSA Attachment 6 - Supporting Screenshots of Electronic Survey Intervention 08Oct21.pdf	Supplementary Document	Uploaded 2021-10-27	Available
SSA Attachment 5 - Data Collection Recruitment Templates 08Oct21 Clean.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
SCORE UC Survey Cover Letter 08Oct21 Clean.pdf	Supplementary Document	Uploaded 2021-10-27	Repair queued
0920-1308 Nonsub Change_SCORE Option Survey.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-10-27	Repair queued
Supporting Statement A 02Jun2020.docx	Supporting Statement A	Uploaded 2020-06-04	Repair queued
SSA Attachment 5 - Data Collection Recruitment E-mail Templates 29May2020.docx	Supplementary Document	Uploaded 2020-06-04	Repair queued
SSA Attachment 4 IRB Approved Consent Cover Letter.pdf	Supplementary Document	Uploaded 2020-06-04	Repair queued
SSA Attachment 2 Published 60-Day FRN.pdf	Supplementary Document	Uploaded 2020-06-04	Repair queued
SSA Attachment 1 Authorizing Legislation.pdf	Supplementary Document	Uploaded 2020-06-04	Repair queued
Supporting Statement B 02Jun2020.docx	Supporting Statement B	Uploaded 2020-06-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242164	Survey	Form	Modified	Validated Survey Instrument
242164	Survey	Form	Modified	Survey
242164	Survey	Form	Modified
242163	Interview guide	Other-Interview guide	Unchanged

ICR Details

OMB Control No: 0920-1308	ICR Reference No: 202110-0920-013
Status: Historical Active	Previous ICR Reference No: 202006-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1308-22AH
Title: Validated Interview and Survey of Outpatient Providers on Antibiotic Stewardship Interventions
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/15/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/27/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	12/31/2021	12/31/2021
Responses	290	0	290
Time Burden (Hours)	123	0	207
Cost Burden (Dollars)	14,998	0	14,998

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Abstract: These changes are for greater clarity and reduction of burden. Clarifying language has been added to reduce confusion that was identified after soliciting input and the initial testing of the survey. The structure of survey questions was changed to reduce burden on respondents. Rather than providing twelve responses for each of eight interventions (96 responses total), respondents are now providing twelve responses for each of seven core elements and answering two summary questions (86 responses total). Respondents has been given the option to skip an element if they report having no experience with the element. In addition, recruitment strategies are proposed to improve response rate of the respondent pool. Only formatting of the consent cover letter has changed with minimal content changes to add transparency or clarity. The requested changes are similar to the one outlined in OMB Control Number 0920-1308 Validated Follow-up Interview of Clinicians on Outpatient Antibiotic Stewardship Interventions, with certain changes to reduce respondent burden and provide additional instructional clarity.

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Authorizing Statute(s): US Code: 42 USC 247d Name of Law: Combating antimicrobial resistance
  

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 7556	02/10/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 40291	07/06/2020
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Interview guide
Survey	none, 0920-1308	Survey ,   Validated Survey Instrument

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ICR Summary of Burden

table that charts list of burden

	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	290	290	0	0	0	0
Annual Time Burden (Hours)	123	207	0	-84	0	0
Annual Cost Burden (Dollars)	14,998	14,998	0	0	0	0

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

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The changes to the previous submission are for greater clarity and significant reduction of burden. Clarifying language has been added to reduce confusion that was identified after soliciting input from representatives of the target respondent population during initial testing of the survey. The structure of survey questions was also changed to reduce burden on respondents.

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Annual Cost to Federal Government: $35,420

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: 10/27/2021

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