[NCEZID] Assessment for the Get Ahead of Sepsis Consumer and Healthcare Professional Campaign

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-XXXX GAOS HCP Post-Campaign Web Survey	Form and Instruction	New	Available
Form 0920-XXXX GAOS HCP Post-Campaign Web Survey - HCPs	Form and Instruction	New	Repair queued
Form 0920-XXXX GAOS HCP Pre-Campaign Web Survey	Form and Instruction	New	Available
Form 0920-XXXX GAOS HCP Pre-Campaign Web Survey - HCPs	Form and Instruction	New	Repair queued
Form 0920-XXXX GAOS Consumer Post-Campaign Web Survey	Form and Instruction	New	Available
Form 0920-XXXX GAOS Consumer Post-Campaign Web Survey - Consumers	Form and Instruction	New	Repair queued
Form 0920-XXXX GAOS Consumer Pre-Campaign Web Survey	Form and Instruction	New	Repair queued
Form 0920-XXXX GAOS Consumer Pre-Campaign Web Survey - Consumers	Form and Instruction	New	Repair queued
Attachment J_GAOS Reminder email.docx	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment I_GAOS Informed consent form.docx	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment H_GAOS Recruitment Invitation.docx	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment G2_011620NG-NR-signed.pdf	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment B1_ GAOS 60-Day FRN Comments Responses.pdf	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment B3_CDC-2022-0011 (GAOS) Public Comment.pdf	Supplementary Document	Uploaded 2022-11-22	Available
Attachment B2_CDC Federal Register Comment.pdf	Supplementary Document	Uploaded 2022-11-22	Repair queued
Attachment A Authorization Legislation.docx	Supplementary Document	Uploaded 2022-11-22	Repair queued
SSB_11.08.22.docx	Supporting Statement B	Uploaded 2022-11-22	Repair queued
SSA_11.21.22.docx	Supporting Statement A	Uploaded 2022-11-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257061	GAOS HCP Post-Campaign Web Survey - HCPs	Form and Instruction	New	GAOS HCP Post-Campaign Web Survey
257061	GAOS HCP Post-Campaign Web Survey - HCPs	Form and Instruction	New
257060	GAOS HCP Pre-Campaign Web Survey - HCPs	Form and Instruction	New	GAOS HCP Pre-Campaign Web Survey
257060	GAOS HCP Pre-Campaign Web Survey - HCPs	Form and Instruction	New
257058	GAOS Consumer Post-Campaign Web Survey - Consumers	Form and Instruction	New	GAOS Consumer Post-Campaign Web Survey
257058	GAOS Consumer Post-Campaign Web Survey - Consumers	Form and Instruction	New
257057	GAOS Consumer Pre-Campaign Web Survey - Consumers	Form and Instruction	New	GAOS Consumer Pre-Campaign Web Survey
257057	GAOS Consumer Pre-Campaign Web Survey - Consumers	Form and Instruction	New

ICR Details

OMB Control No: 0920-1384	ICR Reference No: 202211-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-22CB
Title: [NCEZID] Assessment for the Get Ahead of Sepsis Consumer and Healthcare Professional Campaign
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/13/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/02/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved
Responses	4,096	0	0
Time Burden (Hours)	1,366	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention (CDC) GAOS national educational effort seeks to prevent and reduce infections that lead to sepsis, and to optimize healthcare quality and patient safety by raising awareness, knowledge, and motivating behavior change related to sepsis prevention, early recognition, and appropriate treatment among consumer intended audiences. This request is to assess if the Get Ahead of Sepsis (GAOS) pilot media campaign, along with partner outreach over a 2–3-month period in select markets, successfully reached intended consumer and healthcare professional (HCP) audiences and influenced their awareness, knowledge, and behavior related to early recognition and timely treatment of sepsis, and prevention of infections that can lead to sepsis.

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Authorizing Statute(s): US Code: 42 USC 241(a) Name of Law: 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:
	87 FR 4890	01/31/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 74151	12/02/2022
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
GAOS Consumer Post-Campaign Web Survey - Consumers	0920-XXXX	GAOS Consumer Post-Campaign Web Survey
GAOS Consumer Pre-Campaign Web Survey - Consumers	0920-XXXX	GAOS Consumer Pre-Campaign Web Survey
GAOS HCP Post-Campaign Web Survey - HCPs	0920-XXXX	GAOS HCP Post-Campaign Web Survey
GAOS HCP Pre-Campaign Web Survey - HCPs	0920-XXXX	GAOS HCP Pre-Campaign Web Survey

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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	4,096	0	0	4,096	0	0
Annual Time Burden (Hours)	1,366	0	0	1,366	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 of 0920-22CB Get Ahead of Sepsis (GAOS) is a New ICR.

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Annual Cost to Federal Government: $887,425

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: 12/02/2022

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