Women’s Reproductive Health Care Provider Survey (WRHCPS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0720-WHRS_SSA_6.28.2024.docx	Supporting Statement A	Uploaded 2024-06-28	Missing upstream
WRHCPS Telephone Follow-Up Script 04.18.23.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
WRHCPS Postal Invitation Letter 04.18.23.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
WRHCPS Postal Reminder Letter 04.18.23.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
WRHCPS Emails 04.18.23.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
WRHCPS Consent and Close Screens 04.18.23.pdf	Supplementary Document	Uploaded 2024-03-05	Missing upstream
0720-WHRS_SSB_5.14.2024.docx	Supporting Statement B	Uploaded 2024-06-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
265770	Women's Reproductive Health Care Provider Survey (WRHCPS)	Other-Survey Instrument	New

ICR Details

OMB Control No:	ICR Reference No: 202403-0720-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOD/DODOASHA	Agency Tracking No: 0720-WRHS
Title: Women’s Reproductive Health Care Provider Survey (WRHCPS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/01/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,129	0
Time Burden (Hours)	710	0
Cost Burden (Dollars)	37,676	0

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Abstract: The proposed survey is devised to be a sufficiently large and representative sample of the diverse professionals who provide reproductive and contraceptive care to ADSW at health care visits. The survey will be designed to capture provider self-reported beliefs, clinical knowledge on reproductive health care (including contraceptive counseling) and prescribing and providing contraception care for and during deployment. Data and analysis from the survey will enable DoD to evaluate, enhance, and where needed, improve reproductive services delivery and educational interventions; provide a strong basis for planning policy and services related to ADSWs reproductive and contraceptive health; and provide data, programs, and details necessary for replication and peer review. In addition, the proposed one-time survey meets a Congressional mandate and serves as an appropriate follow-up to the WRHS by determining whether identified gaps in contraceptive access are the result of provider knowledge and attitudes. The 116-48 SASC Report for FY2020 required DoD to conduct a survey to better understand provider knowledge and beliefs related to provision of contraceptives to ADSW.

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Authorizing Statute(s): PL: Pub.L. 116 - 48 HEALTH CARE PROVISIONS Name of Law: NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2020
  

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:
	89 FR 1084	01/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 53401	06/26/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Women's Reproductive Health Care Provider Survey (WRHCPS)

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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	2,129	0	0	2,129	0	0
Annual Time Burden (Hours)	710	0	0	710	0	0
Annual Cost Burden (Dollars)	37,676	0	0	37,676	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 collection with a new associated burden.

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Annual Cost to Federal Government: $1,516,396

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: 07/01/2024

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