Justification Change Request

February 23, 2022

Change Request for OMB#0920-1227: Assessment of Ill Worker Policies Study

Justification for the Change Request

This is a non-material/non-substantive change request for OMB Control No. 0920-1227 (expiration date 3/31/2024) titled “Assessment of Ill Worker Policies Study.”

We are adding attachment 3a with a reduced reading level for the consent script at a recipient’s IRB request. Recipient sites will be able to use either form as long as it is approved by their IRB. CDC is requesting to make a change to the following forms:

• Attachment 3a (Manager Informed Consent and Interview)

• Ill Worker Protocol

There is no change to the survey questions, number of respondents or requested burden hours.

As such, CDC appreciates OMB’s consideration of this request.

Attachment	Requested Change
Att 3a. Manager Informed Consent and Interview	Simplified consent language from Att 3.
Ill Worker Protocol	Added Att. 3a to the list of attachments