This emergency clearance is approved for 3 months with the understanding that more than three months are needed to conduct the full collection. The agency will accordingly immediately publish a 60 day FRN to begin the process for standard ICR review and approval for the longer-term collection.
Inventory as of this Action
Requested
Previously Approved
08/31/2017
6 Months From Approved
8,062
0
0
2,536
0
0
0
0
0
The goal of this collection is to conduct population-based assessments of utilization of Zika virus prevention strategies and resource needs for pregnant and postpartum women, and newborn infants in Puerto Rico. It will include a hospital-based survey of mothers and fathers to obtain information on the prenatal period. A follow-up telephone survey in the postpartum period will be used to evaluate the ongoing needs of mother and infants in the postpartum period.
Emergency approval is requested for this collection since for the following reasons. In January 2017, The Health Resources and Services Administration (HRSA) provided funding to various agencies in the Puerto Rico Department of Health to address the issues of screening, access, and coordination of care for women, children and families. However, while there is a critical need to provide services for infants who have been affected by Zika during the early postpartum period, there is currently no population-based information available about health care for young infants born to women in Puerto Rico who were pregnant in the first year of the Zika outbreak. While clinical data is available, it is limited to those who seek and receive services. There is an urgent critical need for data on accessibility and utilization of postpartum and newborn services – especially for women and infants affected by Zika, as well as adherence to prevention strategies. To fill this gap, in January 2017, the Puerto Rico Department of Health was funded by the Centers for Disease Control to collect population based data to inform these efforts. The goal of this information collection, planned to begin in April 2017, is to gather scientifically valid and current information from the mothers previously surveyed immediately postpartum in the hospital by re-contacting them by phone 2-10 months after delivery to assess,; 1) their access to and utilization of health care services for themselves and their infants, and 2) their use of measures to avoid Zika infection, including use of postpartum contraception to prevent unintended pregnancies that might otherwise be affected by Zika. Additionally, as the outbreak continues, there is a need to reassess the effectiveness of emergency response efforts from the first season and to determine where additional efforts and resources are needed in subsequent seasons. Because fathers play a critical role in the health and well-being of their infants, there is also a need to assess their knowledge and contribution to prevention efforts and access to and adherence to recommended care. To address these needs, a second cohort of women will be surveyed 1) immediately postpartum using a hospital-based survey, 2) approximately a year following the initial ZPER survey, and 3) fathers who are present will also be surveyed. Moreover, given the increasing need to assess prevention strategies and resource needs for newborn infants, along with the effectiveness of efforts to prevent rapid repeat pregnancies that are unintended among postpartum women as the number of infants potentially exposed to Zika during pregnancy rises, this second cohort of women will also be re-contacted by telephone for a follow up survey to assess health behaviors and health care needs of postpartum mothers and their infants as it relates to Zika prevention strategies and resource gaps for mothers and newborns.
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:
(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;
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.
Telephone Follow-Up Survey
SSA - Emergency Zika Package ZPER 12MAY2017.docx
Zika-ZPER-March2017-OMB Memo.pdf
Telephone Follow-Up Survey