Racial and Ethnic Approaches to Community Health across the U.S. (REACH U.S.) Evaluation

Forms and Documents

Document Name	Status
Attachment 9. REACH US Grantees.xls Supplementary Document	2009-02-24
Attachment 8. Postcard_revised privacy text.pdf Supplementary Document	2009-02-24
Attachment 8. Postcard_revised privacy text.pdf Supplementary Document	2009-02-24
Attachment 7. Nonresponse Plan.doc Supplementary Document	2009-02-24
Attachment 11. Incentive Experiments.doc Supplementary Document	2009-02-24
SS_A REACH US Eval (Revised 2-20-2009).doc Supplementary Document	2009-02-24
SS_B REACH US Eval (Revised 2-20-2009).doc Supplementary Document	2009-02-24
SS_B REACH US Eval.doc Supporting Statement B	2008-04-08
Attachment 6. IRB Approval.doc Supplementary Document	2008-04-08
Attachment 4. Sample Size Calculation.doc Supplementary Document	2008-04-08
Attachment 2b. Summary of Public Comments.doc Supplementary Document	2008-04-08
Attachment 2. 60-day FRN.pdf Supplementary Document	2008-04-08
Attachment 1. Authorizing Legislation.doc Supplementary Document	2008-04-08
Attachment 5. Advance Letter.doc Supplementary Document	2008-04-08
SS_A REACH US Eval.doc Supporting Statement A	2008-04-08

IC Document Collections

IC ID	Document Title	Status
184630	Household Member Interview Other-Telephone Interview Script	New
184629	Introductory Screening Interview Other-Telephone Screening Script	New

ICR Details

OMB Control No: 0920-0805	ICR Reference No: 200804-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Racial and Ethnic Approaches to Community Health across the U.S. (REACH U.S.) Evaluation
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: 02/25/2009
	Date Received in OIRA: 04/25/2008
Terms of Clearance: Approved consistent with changes outlined in CDC memos included in the public docket. The Agency shall provide a report to OMB addressing the results of the incentives experiment upon completion.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved
Responses	126,600	0	0
Time Burden (Hours)	9,875	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: REACH US is a community intervention program designed to eliminate health disparities in minority communities. As part of the program evaluation, CDC will conduct annual telephone surveys in the intervention communities. It is estimated that 29 communities will participate in the survey and 900 completed interviews will be performed in each community each year.

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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:
	72 FR 64652	11/16/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 19506	04/10/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Introductory Screening Interview
Household Member Interview

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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	126,600	0	0	126,600	0	0
Annual Time Burden (Hours)	9,875	0	0	9,875	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 data collection.

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Annual Cost to Federal Government: $5,100,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 04/25/2008

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