Research Determination

Print Date: 1/4/22

Title:

CDC Worksite Health ScoreCard

Project Id:

0900f3eb81e53f4a

Accession #:

NCCDPHP-ARTB-7/23/21-88409

Project Contact:

Jason E Lang

Organization:

NCCDPHP/DPH/PRTB

Status:

Pending Regulatory Clearance

Intended Use:

Project Determination

Estimated Start Date:

03/31/2021

Estimated Completion Date:

03/30/2025

CDC/ATSDR HRPO/IRB Protocol #:
0920-1014

OMB Control #:

Determinations
Determination

Justification

Completed

Entered By & Role

12/30/21

Redmond Leonard_Joan (jrl3) CIO HSC

Not Research / Other
HSC:
Does NOT Require HRPO
Review

45 CFR 46.102(l)
Program Evaluation
Quality Assurance / Improvement

PRA:
PRA Applies

1/3/22

Still-LeMelle_Terri (cse6) OMB / PRA

Description & Funding
Description
Priority:

Standard

Date Needed:

01/17/2022

Determination Start Date:

01/03/22

Description:

The goal of this collection is an extension of the currently approved OMB package for the establishment and evaluation of the CDC
Worksite Health Scorecard, a web-based organizational assessment tool. The resulting data will be used to support research and
increase understanding of the organizational programs, policies, and practices that employers of various sizes and industry sectors
have implemented to support healthy lifestyle behaviors. It will also document changes in organizational practices over time and
allow CDC to provide better technical assistance to employers seeking guidance on building or maintaining workplace health
promotion programs. No changes to the currently approved ScoreCard instrument are being sought only an extension of the time to
collect information

IMS/CIO/Epi-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

Assessment of Chemical Exposure Name:

Not selected

Goals/Purpose

The CDC Worksite Health Scorecard is an organizational assessment and planning tool designed to facilitate three primary goals: 1.
Assist employers in identifying gaps in their health promotion programs, and help them to prioritize high-impact strategies for health
promotion at their worksites; 2. Improve the health and wellbeing of employees and their families through science-based workplace
health interventions and promising practices; and 3. Support research and increase understanding of the organizational programs,
policies, and practices that employers of various sizes and industry sectors have implemented to support healthy lifestyle behaviors.
This is an extension of a currently approved OMB package. No changes to the current ScoreCard instrument are being proposed on
a time extension to allow new and existing employer continued access to the ScoreCard. The ScoreCard collects organizational
program, policy, and practice information and does not involve human subjects or personally identifiable information. The project
application is supported by an IT contract in the amount of $50-100K per year
Respondents will first complete a registration application to create an account and gather demographic and contact information.
Employers will be recruited through a variety of methods including through large membership and association organizations
(gatekeeping organizations) who have the existing infrastructure to reach their constituents quickly and provide credibility to

Objective:

invitations to participate in Scorecard assessment as well as offer meetings and conferences where employers gather; webinars;
newsletters; social media and websites that can be used to reach out to employers. Respondents next will complete the CDC
Worksite Health Scorecard. The Scorecard instrument will collect information at the organizational level (e.g., #During the past 12
months, did your worksite provide an exercise facility on site?#). The Scorecard will collect information to verify employer contact
information and identify the individual(s) responsible for maintaining the employer account and complete the assessment. The CDC
Worksite Health Scorecard survey asks basic questions about type of evidence-based programs, policies, environmental supports,
and health benefits present at the worksite. Upon completion of the assessment, employers will be provided tailored feedback,
benchmarking reports, and customized resources to assist with implementation efforts, this data collection will serve to support
research and increase understanding of the organizational programs, policies, and practices that employers of various sizes and
industry sectors have implemented to support healthy lifestyle behaviors. Respondents are not required to release information to a
third party. Information collected is self-reported by the employer account holder. CDC is available for technical assistance in
completing the assessment if requested. The current OMB approval is for 800 employers to complete an assessment annually over
a three year period. The same number of respondents will be requested in the extension.

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):

Yes

SDOH Economic Stability:

Not Selected

SDOH Education:

Yes

SDOH Health Care Access:

Yes

SDOH Neighborhood and Environment:

Yes

SDOH Social and Community Context:

Yes

SDOH Indices:

Not Selected

Other SDOH Topics:

Not Selected

Assessing Impact:

Yes

Methods to Improve Health Equity Research and
Practice:

Not Selected

Other:

Not Selected

Activities or Tasks:

New Collection of Information, Data, or Biospecimens

Target Populations to be Included/Represented:

No Human Population

Tags/Keywords:

Workplace ; Health Promotion ; Public Health Practice ; Organizational Policy ; Environment

CDC's Role:

CDC employees will provide substantial technical assistance or oversight ; CDC is providing funding

Method Categories:

Public Health Assessment; Survey; Technical Assistance

Methods:

Employers will create an account providing basic contact and demographic information about their worksite. Once the account is
created, they will have access to the CDC Worksite Health ScoreCard assessment consisting of a series of yes/no questions about
the current status of various workplace health programs, policies, and practices available to their employees. Once the assessment
has been completed and submitted, the employer is given immediate access to a series of benchmark reports and planning,
implementation, and evaluation tools and resources to improve their workplace health program capacity.

Collection of Info, Data or Biospecimen:

The primary mode of information collection for the CDC Worksite Health ScoreCard will be an online survey. This will allow
participants to respond to the questions at their own pace and at their own convenience. This technology will also allow them to
easily assess their performance in different topic areas and track improvements over time. CDC designed the information collection
to minimize the burden to respondents and to the government, to maximize convenience and flexibility, maximize employer
participation and engagement, and to ensure the quality and utility of the information collected and its efficient analysis. The Data
Management Plan will be the responsibility of the CDC-funded contractor with oversight from CDC.

Expected Use of Findings/Results and their impact:

Employers will be provided tailored feedback, benchmarking reports, and customized resources to assist with implementation
efforts, this data collection will serve to support research and increase understanding of the organizational programs, policies, and
practices that employers of various sizes and industry sectors have implemented to support healthy lifestyle behaviors. Further, it
will document changes in organizational practices over time. CDC will also use the information gathered from the Scorecard to
provide better technical assistance to employers seeking guidance on building or maintaining workplace health promotion programs.
CDC technical assistance and support will include working with employer to: # Identify the highest impact strategies not currently in
place at your worksite. # Use this information and the employer#s scores to prioritize future strategies that are relevant, feasible,
and consistent with the organizations and employee#s needs, health issues, and health promotion budget. # Identify which of the
priority strategies are feasible for short- or long-term accomplishment.

Could Individuals potentially be identified based on
Information Collected?

No

Funding

Funding Type

Funding Title

CDC Contract

CDC Worksite Health ScoreCard

HSC Review

Funding #

Original Budget Yr

# Years Award

Budget Amount

2022

3

75000.00

HSC Attributes
Program Evaluation

Yes

Quality Assurance / Improvement

Yes

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

No

Estimated number of study participants

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
Institutions yet to be added .....

Staff
Staff
Member

SIQT Exp.
Date

Jason
Lang

12/20/2022

CITI Biomedical
Exp. Date

CITI Social & Behavioral
Exp. Date

CITI Good Clinical
Practice Exp. Date

Staff
Role

Email

Phone

Organization

Program
Lead

bzl0@cdc.
gov

770-4885597

APPLIED RESEARCH AND
TRANSLATION BRANCH

Data
DMP
Proposed Data Collection Start Date:

3/31/22

Proposed Data Collection End Date:

3/30/25

Proposed Public Access Level:

Restricted

Restricted Details:
Data Use Type:

Other - Aggregate data in benchmark reports shared with employer users

Data Use Type URL:

https://nccd.cdc.gov/DPH_WHSC/HealthScorecard/Home.aspx

Data Use Contact:

[email protected]

Public Access Justification:

The data is only available to users of the system and not general public access. It is not a representative dataset. Users can access
the CDC ScoreCard system at: https://nccd.cdc.gov/DPH_WHSC/HealthScorecard/Home.aspx.

How Access Will Be Provided for Data:

The CDC Worksite Health Scorecard survey will collect information to verify employer contact information and identify an individual
(s) responsible for completing the survey. The contractor and CDC will have access to the file that links employer representative
identifiers such as names and addresses to unique employer ID codes. This contact information will be used to send benchmarking
reports to participating employers. Information collection relates to workplace-related activities and is not personal in nature.
Activities do not involve the collection of individually identifiable information. Participation in the CDC Worksite Health Scorecard
data collection will be completely voluntary. All respondents will receive background information about CDC Worksite Health
Scorecard and will be assured that (1) their participation is voluntary (2) their responses will be kept private and only seen by CDC
and contractor staff, and (3) that there are no personal risks or benefits to them related to their participation. Organizations that

participate in the organizational scorecard assessment are under no obligation to complete the surveys and they may withdraw at
any time. CDC expects a high level of commitment from employers based on the access to individual and benchmarking reports
available by completing the survey. No personally identifiable health information is captured in the survey. Given that the information
being collected is not considered sensitive, information will be stored on a password-protected cloud-based file storage service.
Survey results will only be reported in aggregate. Individual level data will not be reported. More detailed DMP plans pending

Plans for Archival and Long Term Preservation:

Archival data is maintained in the CDC Workplace Health ScoreCard application database (https://nccdintra.cdc.gov
/DPH_WHSC_Admin/HealthScorecardAdmin/AdminHome.aspx). The dataset can be accessed at anytime. It is only accessible by
the CDC program lead and IT contractor for maintenance purposes. More detailed DMP plans pending

Spatiality
Country

State/Province

County/Region

United States

Dataset
Dataset
Title

Dataset
Description

Dataset yet to be added...

Data Publisher
/Owner

Public Access
Level

Public Access
Justification

External
Access URL

Download
URL

Type of Data
Released

Collection
Start Date

Collection End
Date