Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
7142	Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports	Migrated

ICR Details

OMB Control No: 0920-0674	ICR Reference No: 200411-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports
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 with change	Conclusion Date: 01/31/2005
	Date Received in OIRA: 11/08/2004
Terms of Clearance: Approved consistent with CDC memo forwarded to OMB 01/21/05. OMB approves state to state comparisons discussed in the study protocol for exploratory purposes only. OMB will provide approval of the collection for a three year period at CDC's request in order to include a follow up component to the requested study. CDC should submit a change worksheet to OMB to request additional burden hours and respondents for follow up measures as well as a copy of the follow up instrument and a discussion of the prospective survey protocol. In the event that budgetary constraints do not allow for follow up, CDC should submit a discontinuation form to OMB after completion of the initial phase of the study.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2008	01/31/2008
Responses	4,045	0	0
Time Burden (Hours)	301	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Every year about 1.5 Americans sustain a traumatic brain injury (TBI) of those it's estimated that 300,000 are sports-related. NCIPC has developed a tool kit for coaches and plans to distribute the kit nationally. The tool kit is made up of materials in English and Spanish, a pocket card for quick references, a video and fact sheets for coaches and parents. The aim is to raise awareness and educate coaches about concussion; help coaches educate their athletes, parents, and other school officials about concussion. This study will pilot est the coaches tool kit and provide feedback.....

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports

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ICR Summary 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	4,045	0	0	4,045	0	0
Annual Time Burden (Hours)	301	0	0	301	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 11/08/2004

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