OMB control number

Effective Communication in Public Health Emergencies – Developing Community-Centered Tools for People with Special Health Care Needs

OMB 0920-1225 · HHS/CDC.

OMB 0920-1225

Children and youth with special health care needs and individuals with autism spectrum disorders have unique disaster communication needs, and often rely on health care and other professional providers for information during emergencies. The proposed study will conduct surveys, interviews and focus groups with families as well as provider communities and emergency response agencies, to identify the disaster communication needs of families with children and youth with special health care needs (CYSHCN) and families and individuals with autism spectrum disorders (ASD). Results will be used to develop communication tools, protocols and messages that can be used to improve the outcomes of these families after disasters.

The latest form for Effective Communication in Public Health Emergencies – Developing Community-Centered Tools for People with Special Health Care Needs expires 2021-04-30 and is listed under ICR 201801-0920-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Provider - Evaluation Focus Group	Form and Instruction
Health IT Professional - Focus Group	Form and Instruction
Emergency Response Organization - Focus Group	Form and Instruction
Provider Focus Group - ASD	Form and Instruction
Provider Focus Group - CYSHCN	Form and Instruction
Family/Caregiver Focus Group - CYSHCN and ASD	Form and Instruction
Family/Caregiver Interview - ASD	Form and Instruction
Family/Caregiver Interview - CYSHCN	Form and Instruction
Provider Study - ASD	Form and Instruction
Provider Survey - CYSHCN	Form and Instruction
Family/Caregiver - ASD	Form and Instruction
Family/Caregiver Survey - CYSHCN	Form and Instruction
Attachment Z. Recruitment Email for Message Testing.docx	Supplementary Document
Attachment Y. Recruitment Email for Provider Focus Groups.docx	Supplementary Document
Attachment X. Recruitment Email for Families_Caregivers Interviews.docx	Supplementary Document
Attachment W. Study Fact Sheet for Families_Caregivers.docx	Supplementary Document
Attachment V. Pre-Interview Survey.docx	Supplementary Document
Attachment I. Drexel IRB Approval Letter.pdf	Supplementary Document
Attachment G. Assent Form.docx	Supplementary Document
Attachment F. 502 Consent Document for Qualitiative Tools.docx	Supplementary Document
Attachment E. Consent and Recruitment Email for ASD Patient and Provider Survey.docx	Supplementary Document
Attachment D. Consent and Recruitment Email for CYSHCN Provider Survey.docx	Supplementary Document
Attachment C. Consent and Recruitment Email for CYSHCN Families_Caregivers Survey.docx	Supplementary Document
AttCe-CDC Response to Public Comment 2.docx	Supplementary Document
AttCd-CDC Response to Public Comment 1.docx	Supplementary Document
AttCb-PublicComment2.pdf	Supplementary Document
AttCa-PublicComment1.txt	Supplementary Document
Attachment B. Published 60 Day FRN CDC-2017-0071-0001.pdf	Supplementary Document
Attachment A. Authorizing Legislation.docx	Supplementary Document
EffectiveCommSSBv2.docx	Supporting Statement B
EffectiveComm-SSA 19APR2018.docx	Supporting Statement A
Provider - Evaluation Focus Group	Form and Instruction
Health IT Professional - Focus Group	Form and Instruction
Emergency Response Organization - Focus Group	Form and Instruction
Provider Focus Group - ASD	Form and Instruction
Provider Focus Group - CYSHCN	Form and Instruction
Family/Caregiver Focus Group - CYSHCN and ASD	Form and Instruction
Family/Caregiver Interview - ASD	Form and Instruction
Family/Caregiver Interview - CYSHCN	Form and Instruction
Provider Study - ASD	Form and Instruction
Provider Survey - CYSHCN	Form and Instruction
Family/Caregiver - ASD	Form and Instruction
Family/Caregiver Survey - CYSHCN	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201801-0920-006	New collection (Request for a new OMB Control Number)	2018-03-02		Approved with change

OMB Details

Family/Caregiver Survey - CYSHCN

Federal Enterprise Architecture: Disaster Management - Disaster Preparedness and Planning

Information collection instruments
Form	Name	Electronic access	Type
Form NA	CYSHCN Family/Caregiver Survey	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.