AttE STARS Determination Form

AttE STARS Determination Form.pdf

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

AttE STARS Determination Form

OMB: 0923-0047

Document [pdf]
Download: pdf | pdf
Print Date: 2/14/23

Title:

Environmental Justice Index Workshop Feedback Surveys

Project Id:

0900f3eb8208cbbf

Accession #:

NCEH-DAS-1/16/23-8cbbf

Project Contact:

Benjamin A McKenzie

Organization:

NCEH/ATSDR/OIA/DAS

Status:

Project In Progress

Intended Use:

Project Determination

Estimated Start Date:

03/01/2023

Estimated Completion Date:

12/31/2023

CDC/ATSDR HRPO/IRB Protocol #:
0923-0047

OMB Control #:

Determinations
Determination

Justification

Completed

Entered By & Role

2/14/23

Davis_Stephanie I. (sgd8) CIO HSC

Not Research / Other
HSC:
Does NOT Require HRPO
Review

45 CFR 46.102(l)
Program Evaluation
Quality Assurance / Improvement
Other - Collection of audience feedback to improve this public health metric.

PRA:
PRA Applies

ICRO:
PRA Applies

OMB Approval date: 2/17/22
OMB Expiration date: 2/28/25

2/14/23

Davis_Stephanie I. (sgd8) CIO OMB / PRA

2/14/23

Zirger_Jeffrey (wtj5) ICRO Reviewer

Description & Funding
Description
Priority:

Standard

Determination Start Date:

01/18/23

Description:

We will survey key stakeholders (environmental justice advocates, health officials, and subject matter experts on environmental
justice and health) to get feedback for improvement of materials associated with the Environmental Justice Index (EJI). Surveys will
be carried out under the #Generic Clearance for the Collection of Routine Customer Feedback# (OMB Control Number: 09230047), and will be conducted during online workshops that will be open to public registration and promoted through channels
selected to engage key stakeholders. Feedback provided through these in-workshop surveys will be used to improve functionality of
the EJI mapping interface as well as messaging around the calculation and use of the index. Long-term, these improvements will
make it easier for these stakeholders to use the EJI effectively in their work towards health equity.

IMS/CIO/Epi-Aid/Lab-Aid/Chemical Exposure
Submission:

No

IMS Activation Name:

Not selected

Primary Priority of the Project:

Not selected

Secondary Priority(s) of the Project:

Not selected

Task Force Associated with the Response:

Not selected

CIO Emergency Response Name:

Not selected

Epi-Aid Name:

Not selected

Lab-Aid Name:

Not selected

Assessment of Chemical Exposure Name:

Not selected

Goals/Purpose

We will collect feedback from Environmental Justice Index (EJI) users and key stakeholders that will allow us to improve materials
associated with the EJI. The EJI has a broad potential user-base, spanning governmental, academic, and community spheres.
Surveying current and potential users of the EJI will help us to improve use and understanding of the EJI, facilitating its integration
into public health science and practice, and providing users with more of the tools they need to address health inequities associated
with environmental injustice.

Objective:

Our objective is to gather feedback on Environmental Justice Index (EJI) methods and materials through the use of online surveys.
This feedback will then be used to improve materials associated with the EJI. Survey results are not intended to be disseminated to

the public.
Does this project include interventions, services, or Yes
policy change work aimed at improving the health of
groups who have been excluded or marginalized and
/or decreasing disparities?:
Project does not incorporate elements of health
equity science:

Not Selected

Measuring Disparities:

Not Selected

Studying Social Determinants of Health (SDOH):

Not Selected

Assessing Impact:

Not Selected

Methods to Improve Health Equity Research and
Practice:

Yes

Other:

Not Selected

Activities or Tasks:

New Collection of Information, Data, or Biospecimens ; Programmatic Work

Target Populations to be Included/Represented:

General US Population

Tags/Keywords:

Environment and Public Health

CDC's Role:

Activity originated and designed by CDC staff, or conducted at the specific request of CDC, or CDC staff will approve study design
and data collection as a condition of any funding provided

Method Categories:

Survey

Methods:

Surveys will be conducted during informational workshops on the Environmental Justice Index (EJI) that will be hosted by CDC
/ATSDR and open to public registration. These workshops will be conducted via webinar, and will be promoted through a number of
channels designed to reach a target audience of environmental justice advocates, health officials, and subject matter experts on
environmental justice and health. These channels will include: 1) US Department of Health and Human Services Office of Climate
and Health Equity email listserv 2) US Environmental Protection Agency Environmental Justice email listserv 3) @CDCEnvironment
Twitter Account 4) Agency for Toxic Substances and Disease Registry Place and Health website (https://www.atsdr.cdc.gov
/placeandhealth/howdoesPlaceaffectHealth.html). During each workshop, attendees will have the option to join up to three
informational sessions. At the end of each session, attendees will be given the option to provide feedback on information conveyed
in that session by answering a short survey. Survey responses will then be synthesized by the program and used to improve
materials such as fact sheets, FAQs, technical documentation, and data dashboards.

Collection of Info, Data or Biospecimen:

Attendees of ten online, informational workshops on the Environmental Justice Index (EJI) will be given the option to voluntarily
participate in up to three short, 3-minute surveys. Surveys will be administered through Survey123, a secure, online data-collection
platform. Surveys include Likert scale and open-ended questions. Questions are designed to obtain feedback on which EJI
materials require improvement and how best to improve materials to make them easier and more helpful for users.
The Environmental Justice Index (EJI) is a tool that can be used to identify and prioritize areas that may require special attention or
additional action to improve health and health equity, educate and inform the public about their community, analyze the unique,
local factors driving cumulative impacts on health to inform policy and decision-making, and establish meaningful goals and
measure progress towards environmental justice and health equity. Survey responses regarding EJI materials will be synthesized

Expected Use of Findings/Results and their impact:

by the program and used to improve materials such as fact sheets, FAQs, technical documentation, and data dashboards
associated with the EJI. Improved materials and messaging will help in the adoption and appropriate use of the EJI by individuals,
community-based organizations, public health officials at local, state, and federal levels, scientists, and researchers. This will help
these users to make informed decisions on how to address environmental injustices and associated health inequities.

Could Individuals potentially be identified based on
Information Collected?

No

Funding

Funding Type

Funding Title

Other-

None

Funding #

HSC Attributes
Program Evaluation

Yes

Quality Assurance / Improvement

Yes

Other - Collection of audience feedback to improve
this public health metric.

Yes

Regulation and Policy

Estimated number of study participants

# Years Award

Budget Amount
0.00

HSC Review

Do you anticipate this project will be submitted to
the IRB office

Original Budget Yr

No

Population - Children

Protocol Page #:

Population - Minors

Protocol Page #:

Population - Prisoners

Protocol Page #:

Population - Pregnant Women

Protocol Page #:

Population - Emancipated Minors

Protocol Page #:

Suggested level of risk to subjects
Do you anticipate this project will be exempt
research or non-exempt research

Requested consent process waviers
Informed consent for adults

No Selection

Children capable of providing assent

No Selection

Parental permission

No Selection

Alteration of authorization under HIPPA Privacy
Rule

No Selection

Requested Waivers of Documentation of Informed Consent
Informed consent for adults

No Selection

Children capable of providing assent

No Selection

Parental permission

No Selection

Consent process shown in an understandable language
Reading level has been estimated

No Selection

Comprehension tool is provided

No Selection

Short form is provided

No Selection

Translation planned or performed

No Selection

Certified translation / translator

No Selection

Translation and back-translation to/from target
language(s)

No Selection

Other method

No Selection

Clinical Trial
Involves human participants

No Selection

Assigned to an intervention

No Selection

Evaluate the effect of the intervention

No Selection

Evaluation of a health related biomedical or
behavioral outcome

No Selection

Registerable clinical trial

No Selection

Other Considerations
Exception is requested to PHS informing those
bested about HIV serostatus

No Selection

Human genetic testing is planned now or in the
future

No Selection

Involves long-term storage of identfiable biological
specimens

No Selection

Involves a drug, biologic, or device

No Selection

Conducted under an Investigational New Drug
exemption or Investigational Device Exemption

No Selection

Institutions & Staff
Institutions
Name

FWA #

FWA Exp Date

Centers for Disease Control & Prevention

FWA00001413

07/30/26

IRB Title

IRB Exp Date

Staff
Staff
Member

SIQT
Exp. Date

CITI Biomedical
Exp. Date

CITI Social &
Behavioral Exp. Date

CITI Good Clinical
Practice Exp. Date

Staff Role

Email

Phone

Organization

Funding #

Benjamin
McKenzie

08/10
/2023

Principal
Investigator

qkx4@cdc.
gov

Sabrina
Bogovic

02/14
/2025

CoInvestigator

qbc8@cdc.
gov

2055033879
4044984788

DATA AND ANALYSIS SECTION

GEOSPATIAL EPIDEMIOLOGY AND
APPLIED RESEARCH

Data
DMP
Proposed Data Collection Start Date:

4/17/23

Proposed Data Collection End Date:

5/31/23

Proposed Public Access Level:

Non-Public

Non-Public Details:
Reason For Not Releasing Data:

Other - This data is intended for internal evaluation/improvement (i.e., not used for any publications or publicly released reports).
Data can be made available upon request.

Public Access Justification:

Information gathered under the #Generic Clearance for the Collection of Routine Customer Feedback# (OMB Control Number:
0923-0047) is intended to be used for product and service improvement, as well as internal evaluation. The results are not intended
to be disseminated to the public.

How Access Will Be Provided for Data:

Datasets will be stored on internal, secure CDC network servers. No personally-identifying information will be collected or stored for
this project.

Plans for Archival and Long Term Preservation:

Datasets will be indefinitely archived on internal, secure CDC network servers. Access will be available to members of the program
upon request.

Spatiality
Country
United States

Dataset

State/Province

County/Region

Dataset
Title

Dataset
Description

Data Publisher
/Owner

Public Access
Level

Public Access
Justification

External
Access URL

Download
URL

Type of Data
Released

Collection
Start Date

Collection End
Date

Dataset yet to be added...

Supporting Info
Current

CDC Staff Member
and Role

Date Added

Description

Supporting Info Type

Supporting Info

02/14/2023

NOA 0923-0047 (2022)

Notice of Action

NOA 0923-0047_2022.pdf

McKenzie_Benjamin
(qkx4)
Project Contact

02/14/2023

Request for Approval under the
#Generic Clearance for the
Collection of Routine Customer
Feedback# (OMB Control Number:
0923-0047) and all related
attachments.

Paperwork Reduction Act Form

GenIC_EJI_Wrkshp_Feedback_updated.zip

Davis_Stephanie I.
(sgd8)
CIO HSC

02/14/2023

GenIC reviewed by OS

Paperwork Reduction Act Form

Files rev OS.zip

McKenzie_Benjamin
(qkx4)
Project Contact

02/14/2023

Request for Approval under the
#Generic Clearance for the
Collection of Routine Customer
Feedback# (OMB Control Number:
0923-0047) and all related
attachments.

Paperwork Reduction Act Form

GenIC_EJI_Wrkshp_Feedback_revised.zip

Davis_Stephanie I.
(sgd8)
CIO HSC

01/31/2023

Zipfile of GenIC with comments

Paperwork Reduction Act Form

Files rev OS.zip

Paperwork Reduction Act Form

GenIC_EJI_Wrkshp_Feedback.zip

Zirger_Jeffrey (wtj5)
ICRO Reviewer

Current

McKenzie_Benjamin
(qkx4)

Request for Approval under the
#Generic Clearance for the
Collection of Routine Customer
01/31/2023

Project Contact

Feedback# (OMB Control Number:
0923-0047) and all related
attachments.


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File Modified2023-02-14
File Created2023-02-14

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