Homeless Service Providers’ Knowledge, Attitudes, and Practices Regarding Body Lice, Fleas and Associated Diseases

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Site Assessment Form - Street/Outreach Workers	Form and Instruction	New	Available
Site Assessment Form for Street/Outreach Workers	Form and Instruction	New	Repair queued
Site Assessment Form - Homeless Service Sites	Form and Instruction	New	Available
Site Assessment Form for Homeless Service Sites	Form and Instruction	New	Repair queued
KAP Survey - Steet/Outreach Worker	Form and Instruction	New	Available
Street/Outreach Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New	Repair queued
KAP Survey - Shelter Workers	Form and Instruction	New	Available
Shelter Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New	Repair queued
Attachment_10_Memo_Non-Research_CDC_HRSO.pdf	Supplementary Document	Uploaded 2022-09-09	Available
Attachment_9_Vector-Borne_Diseases_List.docx	Supplementary Document	Uploaded 2022-09-09	Repair queued
Attachment_8_Informational_Photo_Sheets.pdf	Supplementary Document	Uploaded 2022-09-09	Repair queued
Attachment_3_Project_Information_Sheet.docx	Supplementary Document	Uploaded 2022-09-09	Repair queued
Attachment_2_60_Day_FRN_Published.pdf	Supplementary Document	Uploaded 2022-09-09	Repair queued
Emergency Review Request Memo_AVERT_9.8.2022.pdf	Supplementary Document	Uploaded 2022-09-09	Repair queued
Attachment 1 - Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2022-09-09	Repair queued
SSB_KAP_PHE_9.7.2022.docx	Supporting Statement B	Uploaded 2022-09-09	Repair queued
SSA_KAP_PEH_9.7.2022.docx	Supporting Statement A	Uploaded 2022-09-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
255802	Site Assessment Form for Street/Outreach Workers	Form and Instruction	New	Site Assessment Form - Street/Outreach Workers
255802	Site Assessment Form for Street/Outreach Workers	Form and Instruction	New
255801	Site Assessment Form for Homeless Service Sites	Form and Instruction	New	Site Assessment Form - Homeless Service Sites
255801	Site Assessment Form for Homeless Service Sites	Form and Instruction	New
255799	Street/Outreach Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New	KAP Survey - Steet/Outreach Worker
255799	Street/Outreach Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New
255798	Shelter Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New	KAP Survey - Shelter Workers
255798	Shelter Worker Suvey - KAP Body lice- and flea-borne diseases	Form and Instruction	New

ICR Details

OMB Control No: 0920-1372	ICR Reference No: 202209-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Homeless Service Providers’ Knowledge, Attitudes, and Practices Regarding Body Lice, Fleas and Associated Diseases
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/16/2022
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/21/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2022
Terms of Clearance: Approval of this emergency ICR is with the understanding that CDC will quickly publish the 30 day notice and submit for regular PRA approval. .

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	6 Months From Approved
Responses	480	0	0
Time Burden (Hours)	320	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Several bacterial vector-borne diseases that are spread by body lice and fleas disproportionately affect people experiencing homelessness. Given the potential severity of louse- and flea-borne diseases, understanding the knowledge and gaps in knowledge of homeless service providers will allow for targeted education and interventions to the reduce the risk of louse- and flea-borne disease among people experiencing homelessness. We propose a survey of knowledge, attitudes, and practices among homeless service providers regarding louse- and flea-borne diseases to identify these gaps in order to plan effective public health interventions and educational materials.

Emergency Justfication: Due to overwhelming demand on ICRO and multiple concurrent emergency responses (COVID-19, polio, monkeypox), the 30d FRN package was not published to the Federal Register until September 12, 2022, and could not be submitted to OMB. CDC funding for data collection in Seattle, Washington will be lost if the project is not completed within the month of September, as these funds must be spent in the current fiscal year and cannot be carried over to subsequent fiscal years. Furthermore, inability to complete this data collection would erode key stakeholder confidence in CDC to follow through on its commitments and undermine CDC’s mission to rapidly address ongoing disease threats in the community.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. PHSA
  

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:
	87 FR 9624	02/02/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Shelter Worker Suvey - KAP Body lice- and flea-borne diseases	NA	KAP Survey - Shelter Workers
Site Assessment Form for Homeless Service Sites	NA	Site Assessment Form - Homeless Service Sites
Site Assessment Form for Street/Outreach Workers	NA	Site Assessment Form - Street/Outreach Workers
Street/Outreach Worker Suvey - KAP Body lice- and flea-borne diseases	NA	KAP Survey - Steet/Outreach Worker

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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	480	0	0	480	0	0
Annual Time Burden (Hours)	320	0	0	320	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Submission is an (New) Emergency ICR

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Annual Cost to Federal Government: $81,000

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? 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: 09/13/2022

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