Mixed-methods Information Collection on Emerging Diseases among Foreign-born in the US

Forms and Documents

Document Name	Status
Supporting Statement B_Migrant Health Generic_Mixed Methods 07102013.docx Supporting Statement B	2013-08-07
Attachment G Example of a Focus Group Discussion Guide.docx Supplementary Document	2013-08-07
Attachment F - Example Participant Screener.docx Supplementary Document	2013-08-07
Attachme E Example of a Survey.docx Supplementary Document	2013-08-07
Attachment H - Participant Information Sheet.docx Supplementary Document	2013-08-07
Attachment D USCODE-2009-title42-chap6A-subchapII-partC-sec252.pdf Supplementary Document	2013-08-07
Attachment CUSCODE-2011-title8-chap12-subchapII-partII-sec1182.pdf Supplementary Document	2013-08-07
Attachment B 60 Day FRN.pdf Supplementary Document	2013-08-07
Attachment A USCODE-2009-title42-chap6A-subchapII-partG.pdf Supplementary Document	2013-08-07
Attachment A CFR-2010-title42-vol1-part71.pdf Supplementary Document	2013-08-07
Attachment A CFR-2010-title42-vol1-part70.pdf Supplementary Document	2013-08-07
Supporting Statement A_Migrant Health Generic_Mixed Methods 07102013.docx Supporting Statement A	2013-08-07

IC Document Collections

IC ID	Document Title	Status

ICR Details

OMB Control No: 0920-0986	ICR Reference No: 201308-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 20274
Title: Mixed-methods Information Collection on Emerging Diseases among Foreign-born in the US
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: 09/09/2013
	Date Received in OIRA: 08/08/2013
Terms of Clearance: Approved with the understanding that individual GenIC requests will be submitted and the submission will include any instruments to be used in data collection along with a description of the aims, population, and methods of the particular project. Information collection on an individual project under this generic cannot begin until OMB approval for that collection has been obtained.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved
Responses	56,700	0	0
Time Burden (Hours)	21,150	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This generic will allow DGMQ to collect critical information for planning and implementation of disease prevention and control strategies among high risk foreign-born communities. Foreign-born individuals are hard to reach populations and often missed by routine data collection systems. There is limited information about the health status, beliefs and practices and risk factors for communicable diseases and other health issues, especially at the local level.

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Authorizing Statute(s): US Code: 42 USC 264 Name of Law: PHSA
   US Code: 8 USC 1182 Name of Law: Immigation and Nationality 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:
	77 FR 53887	09/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 66468	11/05/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 0

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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	56,700	0	0	56,700	0	0
Annual Time Burden (Hours)	21,150	0	0	21,150	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 generic clearance request.

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Annual Cost to Federal Government: $889,000

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]? 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? 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: 08/08/2013

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