Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 9_PCO Survey_KAP Surveys.docx	Supplementary Document	Uploaded 2022-09-30	Missing upstream
Attachment 8_Daily Survey_KAP surveys.docx	Supplementary Document	Uploaded 2022-09-30	Repair queued
Attachment 7_Final Survey_KAP surveys.docx	Supplementary Document	Uploaded 2022-09-30	Repair queued
Attachment 6_Monthly Survey_KAP Surveys.docx	Supplementary Document	Uploaded 2022-09-30	Available
Attachment 5_Introductory Survey_KAP surveys.docx	Supplementary Document	Uploaded 2022-09-30	Available
Attachment 4_Consent Form_KAP surveys.docx	Supplementary Document	Uploaded 2022-09-30	Repair queued
Attachment 3_Screening Instrument_KAP Surveys.docx	Supplementary Document	Uploaded 2022-09-30	Repair queued
Attachment 2_Published 60-Day FRN.pdf	Supplementary Document	Uploaded 2022-09-30	Repair queued
30_Day_FRN_TBD_083022.docx	Supplementary Document	Uploaded 2022-09-30	Repair queued
Attachment 1_Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2022-09-30	Repair queued
Att 9 - PCO Survey (1).doc	Supplementary Document	Uploaded 2019-07-18	Missing upstream
Att 8 - Daily Survey.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 7 - Final Survey.doc	Supplementary Document	Uploaded 2019-07-18	Repair queued
Att 6 - Monthly Survey.doc	Supplementary Document	Uploaded 2019-07-18	Repair queued
Att 5 - Introductory Survey.doc	Supplementary Document	Uploaded 2019-07-18	Repair queued
4. Consent Form_KAP surveys.doc	Supplementary Document	Uploaded 2019-07-18	Available
Att 3 - Screening Instrument.doc	Supplementary Document	Uploaded 2019-07-18	Repair queued
2. 60-day FRN.pdf	Supplementary Document	Uploaded 2019-07-18	Available
1. Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2019-07-18	Repair queued
SSB_TBD KAP Surveys 090222.docx	Supporting Statement B	Uploaded 2022-09-30	Missing upstream
SSA_TBD KAP Surveys 090222 (002).docx	Supporting Statement A	Uploaded 2022-09-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0920-1150	ICR Reference No: 202209-0920-027
Status: Received in OIRA	Previous ICR Reference No: 201907-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1150
Title: Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/30/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2022
Responses	213,000	103,500
Time Burden (Hours)	296,490	28,749
Cost Burden (Dollars)	0	713,095

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Abstract: It is the goal of the Division of Vector-borne diseases (DVBD) to conduct surveys to evaluate knowledge, attitutes, and practices regarding ticks and tickborne diseases (TBDs) among residents and businesses offering pest control services in Lyme disease endemic areas of the US. The survey results will inform the implementation of future TBD prevention interventions. This is an extension without changes.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: 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 15433	03/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 59429	09/30/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	213,000	103,500	0	109,500	0	0
Annual Time Burden (Hours)	296,490	28,749	0	267,741	0	0
Annual Cost Burden (Dollars)	0	713,095	0	-713,095	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: This request is to make a revision to the GenIC. All burden has been updated to reflect three years of approval for a total of 296490 burden hours.

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Annual Cost to Federal Government: $653,000

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: 09/30/2022

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