[NCBDDD] CDC's Milestone Tracker App User Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Milestone Tracker App Provider Survey (Spanish)	Form and Instruction	New	Available
Milestone Tracker App Provider Survey (English)	Form and Instruction	New	Available
Provider Survey	Form and Instruction	New	Repair queued
Milestone Tracker App Parent Survey 2 (Spanish)	Form and Instruction	New	Available
Milestone Tracker App Parent Survey 2 (English)	Form and Instruction	New	Available
Parent Survey 2	Form and Instruction	New	Repair queued
Milestone Tracker App Parent Survey 1 (Spanish)	Form and Instruction	New	Available
Milestone Tracker App Parent Survey 1 (English)	Form and Instruction	New	Available
Parent Survey 1	Form and Instruction	New	Repair queued
SSB_LTSAE_1-31-23.docx	Supporting Statement B	Uploaded 2023-02-09	Repair queued
E_LTSAE MT Notifications SPANISH_01312023.docx	Supplementary Document	Uploaded 2023-02-09	Repair queued
D_LTSAE MT Notifications_01312023.docx	Supplementary Document	Uploaded 2023-02-09	Repair queued
C_Project Determination PDF_LTSAE MT.pdf	Supplementary Document	Uploaded 2023-02-09	Repair queued
B_60 day FRN_LTSAE MT.pdf	Supplementary Document	Uploaded 2023-02-09	Repair queued
A_PublicHealthServiceAct.docx	Supplementary Document	Uploaded 2023-02-09	Repair queued
SSA_LTSAE_2.1.2023.docx	Supporting Statement A	Uploaded 2023-02-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258177	Provider Survey	Form and Instruction	New	Milestone Tracker App Provider Survey (Spanish)
258177	Provider Survey	Form and Instruction	New	Milestone Tracker App Provider Survey (English)
258177	Provider Survey	Form and Instruction	New
258176	Parent Survey 2	Form and Instruction	New	Milestone Tracker App Parent Survey 2 (Spanish)
258176	Parent Survey 2	Form and Instruction	New	Milestone Tracker App Parent Survey 2 (English)
258176	Parent Survey 2	Form and Instruction	New
258175	Parent Survey 1	Form and Instruction	New	Milestone Tracker App Parent Survey 1 (Spanish)
258175	Parent Survey 1	Form and Instruction	New	Milestone Tracker App Parent Survey 1 (English)
258175	Parent Survey 1	Form and Instruction	New

ICR Details

OMB Control No: 0920-1397	ICR Reference No: 202212-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-22GR
Title: [NCBDDD] CDC's Milestone Tracker App User Surveys
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: 05/01/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/10/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved
Responses	500,000	0	0
Time Burden (Hours)	41,667	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC’s Learn the Signs. Act Early. (LTSAE) program promotes family-engaged developmental monitoring of children and aims to improve early identification of autism and other developmental disabilities so that children and families receive the services and support they need. The purpose of this information collection is to improve understanding of how parents and early childhood providers/professionals use the CDC Milestone Tracker app, whether they like the app, and what steps are taken if there are concerns about a child’s development or a missed developmental milestone. The surveys will be collected electronically via a secured online survey platform, in English or Spanish. Findings from the user surveys will be used to make necessary improvements to the app.

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Authorizing Statute(s): US Code: 42 USC 241 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 41317	07/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 8864	02/10/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Parent Survey 1	None, None	Milestone Tracker App Parent Survey 1 (English) ,   Milestone Tracker App Parent Survey 1 (Spanish)
Parent Survey 2	None, None	Milestone Tracker App Parent Survey 2 (English) ,   Milestone Tracker App Parent Survey 2 (Spanish)
Provider Survey	None, None	Milestone Tracker App Provider Survey (English) ,   Milestone Tracker App Provider Survey (Spanish)

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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	500,000	0	0	500,000	0	0
Annual Time Burden (Hours)	41,667	0	0	41,667	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: This is a new information collection request.

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Annual Cost to Federal Government: $12,000

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: 02/10/2023

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