National Hypertension Control Initiative

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 CHCs: Social Needs Platforms Readiness Assessment	Form and Instruction	Unchanged	Available
Form 1 CBOs: Social Needs Platforms Readiness Assessment	Form and Instruction	Unchanged	Repair queued
Form 3 ET Get Active	Form and Instruction	Unchanged	Available
Form 2 Salt and Cardiovascular Risk	Form and Instruction	Unchanged	Available
Form 1 ETS Control Your Blood Pressure	Form and Instruction	Unchanged	Available
Form 1 Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction	Unchanged	Repair queued
Form 1 CBOs: Qualtrics survey	Form and Instruction	Unchanged	Available
Form 1 CBO Qualtrics Survey	Form and Instruction	Unchanged	Repair queued
NHCI TA Group 2 Evaluation Survey.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
HRSA NHCI OMB Memo_Non-Substantive Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-08-16	Repair queued
NHCI_Supporting Statement A_Final (4).docx	Supporting Statement A	Uploaded 2022-05-10	Repair queued
30-day 0990-Hypertension__05022022.pdf	Supplementary Document	Uploaded 2022-05-03	Repair queued
NHCI 60d FRN 2021-19975.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix F_CHC Readiness Assessment.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix E_CBO Readiness Assessment.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix D2_ETS Salt and Cardiovascular Risk.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix D2_ETS Salt and Cardiovascular Risk.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix D1_ETS Control Your Blood Pressure.pdf	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix C_Feasibility Assessments-CHCs and CBOs_Final.docx	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix B_Qualtrics and DREaM CBO quarterly survey questions_Final.docx	Supplementary Document	Uploaded 2022-04-15	Repair queued
Appendix A_Qualtrics and DREaM CHC quarterly survey questions_Final.docx	Supplementary Document	Uploaded 2022-04-15	Repair queued
NHCI_Supporting Statement B Statistical Methods_Final.docx	Supporting Statement B	Uploaded 2022-04-15	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
252928	Blood Pressure Control Metrics via Electronic Health Records		Unchanged
252927	Individual Consumers: Remote Patient Monitoring (RPM)		Unchanged
252926	CBOs: Remote Patient Monitoring (RPM)		Unchanged
252925	Management Occupation: Remote Patient Monitoring Provider data delivery		Unchanged
252924	Individual Consumers: Social Needs Platform Participation		Unchanged
252923	CBOs: Social Needs Platforms Readiness Assessment	Form and Instruction	Unchanged	CHCs: Social Needs Platforms Readiness Assessment
252923	CBOs: Social Needs Platforms Readiness Assessment	Form and Instruction	Unchanged
252922	CHCs: Social Needs Platforms Readiness Assessment		Unchanged
252921	Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction	Unchanged	ET Get Active
252921	Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction	Unchanged	Salt and Cardiovascular Risk
252921	Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction	Unchanged	ETS Control Your Blood Pressure
252921	Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction	Unchanged
252920	CBOs: Feasibility assessment focus groups	Other-Interview Questions	Unchanged
252919	CHCs: Feasibility assessment focus groups	Other-Interview Questions	Unchanged
252918	CBOs: Training on data entry into DREaM		Unchanged
252917	CHCs: Training on data entry into DREaM		Unchanged
252916	CBO Qualtrics Survey	Form and Instruction	Unchanged	CBOs: Qualtrics survey
252916	CBO Qualtrics Survey	Form and Instruction	Unchanged
252914	CHC Qualtrics Survey	Other-instruction and form	Unchanged

ICR Details

OMB Control No: 0990-0482	ICR Reference No: 202208-0990-005
Status: Historical Active	Previous ICR Reference No: 202204-0990-005
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: National Hypertension Control Initiative
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 without change	Conclusion Date: 09/16/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/16/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	06/30/2025	06/30/2025
Responses	20,069	0	20,069
Time Burden (Hours)	8,141	0	8,141
Cost Burden (Dollars)	0	0	0

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Abstract: As part of the federal response to COVID-19, the U.S. Department of Health and Human Services (HHS) has funded a new initiative involving two cooperative agreements with the American Heart Association (AHA) to improve COVID-19-related health outcomes by addressing hypertension (high blood pressure) among racial and ethnic minority populations. The $32 million project from the HHS Office of Minority Health (OMH) and the Health Resources and Services Administration (HRSA) Bureau of Primary Health Care will support the implementation of the National Hypertension Control Initiative (NHCI), a national initiative to improve blood pressure control among the most at-risk populations, including racial and ethnic minorities. The NHCI will support 350 participating HRSA-funded health centers by providing patient and provider education and training for effective hypertension control as well as integration of remote blood pressure monitoring technology into the treatment of hypertension for patients served by participating health centers. The project will also utilize the American Heart Association's targeted media campaigns and existing partnerships with community-based organizations (CBOs) to help reach Black, Latino, and other impacted communities with i) culturally and linguistically appropriate messages, ii) access to blood pressure screenings, and iii) connection to health centers to encourage proper treatment and management of hypertension of screened individuals. This initiative serves to increase the number of adult patients with controlled hypertension and reduce the potential risk of COVID-related health outcomes. AHA aims to conduct an evaluation to assess the feasibility of the implementation of each of the three NHCI strategies. The findings of this evaluation will inform the improvement and tailoring of AHA’s communication approaches about the importance of and techniques for improving blood pressure control, including the benefits of accurately measuring, rapidly acting, and having a patient-focused approach to blood pressure control.

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Authorizing Statute(s): US Code: 42 USC 300u-6 Name of Law: Section 1707 of the Public Health Service Act
  

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:
	86 FR 51673	09/16/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 25645	05/02/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
Blood Pressure Control Metrics via Electronic Health Records
CBO Qualtrics Survey	1	CBOs: Qualtrics survey
CBOs: Feasibility assessment focus groups
CBOs: Remote Patient Monitoring (RPM)
CBOs: Social Needs Platforms Readiness Assessment	1	CHCs: Social Needs Platforms Readiness Assessment
CBOs: Training on data entry into DREaM
CHC Qualtrics Survey
CHCs: Feasibility assessment focus groups
CHCs: Social Needs Platforms Readiness Assessment
CHCs: Training on data entry into DREaM
Individual Consumers: ETS health lesson learning questionnaires	2, 3, 1	ETS Control Your Blood Pressure ,   Salt and Cardiovascular Risk ,   ET Get Active
Individual Consumers: Remote Patient Monitoring (RPM)
Individual Consumers: Social Needs Platform Participation
Management Occupation: Remote Patient Monitoring Provider data delivery

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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	20,069	20,069	0	0	0	0
Annual Time Burden (Hours)	8,141	8,141	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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: No

Burden Reduction Due to:

Short Statement: This is a new request There are no program changes or adjustments included in this request,

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Annual Cost to Federal Government: $2,354,000

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? Yes

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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: 08/16/2022

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