Director DCS Sampling Call

Attachment B-3 Director DCW Sampling Call

Form Approved OMB No. 0920-1030

Exp. Date 02/28/2026

Notice – CDC estimates the average public reporting burden for this collection of information as 15 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road, MS H21-8, Atlanta, GA 30333; ATTN: PRA (0920-1030).

Assurance of Confidentiality – We take your privacy very seriously. All information that relates to or describes identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes. NCHS staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C. 242m(d)) and the Confidential Information Protection and Statistical Efficiency Act (44 U.S.C. 3561-3583). In accordance with CIPSEA, every NCHS employee, contractor, and agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you. In addition to the above cited laws, NCHS complies with the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C. §§ 151 and 151 note) which protects Federal information systems from cybersecurity risks by screening their networks.

In addition to reading through the script below, the interviewer will also do the following:

Walk through sampling list with the director.

Remove DCWs that are not eligible—language barrier, not current employee or contractor

For each sampled DCW ask:

Is the sampled DCW an employee or a contractor?

If employee, does the DCW work part-time or full-time?

If contractor, does the DCW contract temporarily or long-term?

What is the position title of the sampled DCW?

Could I please have the name, address, phone number, and email address of the sampled DCW?

Sampling Call Script

1. My name is _____ and I’m calling on behalf of the Direct Care Worker Pilot Study, a project being conducted by CDC’s National Center for Health Statistics. May I please speak with [name of the director/administrator]?

IF NOT AVAILABLE, ASK: Is there a good time that I can reach him/her? ADD APPOINTMENT IN ICS.

2. IF AVAILABLE: I’m calling at our scheduled time. Were you able to prepare a list of current direct care workers as of midnight yesterday?

IF YES: Using the list that you have prepared, I will talk you through a few steps to determine which two DCWs to select. LAUNCH THE SAMPLING/QUESTIONNIARE MODULE AND PROCEED TO THE SAMPLING INSTRUCTIONS.

IF NO: I can stay on the line now while you print or write a list of current direct care workers as of midnight yesterday.

IF ABLE TO DRAFT LIST WHILE ON THE PHONE LAUNCH THE SAMPLING/ QUESTIONNIARE MODULE AND PROCEED TO SAMPLING INSTRUCTIONS.

IF NEEDS TIME TO DRAFT LIST: Is this a good time of day to call back or is there a better time to reach you to complete this interview? Thank you very much for your time. Please prepare your list of current DCWs as of midnight before [APPOINTMENT DATE]. I will call you back then. RESCHEDULE APPOINTMENT IN ICS AND END CALL

3. IF LEAVING VOICEMAIL: My name is ________ and I’m calling on behalf of the Direct Care Worker Pilot Study, a project being conducted by CDC’s National Center for Health Statistics. I’m calling at our scheduled time to complete part of the study, but I have tried unsuccessfully to reach you by telephone. Can you please call me toll free at ###-###-#### so I can reschedule an appointment to complete the study? Your participation is important in helping understand long-term care in the United States. Thank you.

4. RETURN TO THE CASE IN THE ICS. FROM ENTITY TASKS SELECT VIEW/CHANGE STATUS AND ASSIGN THE APPROPRIATE CODE IN STAGE 560 – SAMPLING/QUESTIONNAIRE CALL.