[NCCDPHP] Evaluating Deep Learning Algorithm Assessment of Digital Photographs for Dental Public Health Surveillance

Forms and Documents

Document Name	Status
Form 0920-23FJ Screening/photo form_Screener Form and Instruction	New
Form 0920-23FJ Screening/photo form_Child Form and Instruction	New
Form 0920-23FJ Consent Form and Instruction	New
Attachment 2C_Data collection app screenshot.docx Supplementary Document	2023-10-18
Attachment 2F_Notice screening results.docx Supplementary Document	2023-09-07
Attachment 2D_School invitation.docx Supplementary Document	2023-09-07
Attachment 3A_60 day FRN.pdf Supplementary Document	2023-09-07
Attachment 4_CDC IRB determination.docx Supplementary Document	2023-09-07
privacy-narrative-form_mHealth_08282023.pdf Supplementary Document	2023-09-07
Attachment 1_Legislation.pdf Supplementary Document	2023-09-07
SSB_08292023_clean.docx Supporting Statement B	2023-09-07
SSA_08292023_clean.docx Supporting Statement A	2023-09-07

IC Document Collections

IC ID	Document Title	Status
262859	Screening/photo form_Screener Form and Instruction	New
262858	Screening/photo form_Child Form and Instruction	New
262856	Consent Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202309-0920-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-23FJ
Title: [NCCDPHP] Evaluating Deep Learning Algorithm Assessment of Digital Photographs for Dental Public Health Surveillance
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/19/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,006	0
Time Burden (Hours)	827	0
Cost Burden (Dollars)	56,033	0

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Abstract: The purpose of this collection is to examine the validity and feasibility of using digital photos taken by non-dental professionals, which in turn would be analyzed by deep learning algorithms, to assess youth’s oral health status in lieu of examination by dental professionals.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 36581	06/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 63956	09/18/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Consent	0920-23FJ	Attachment 2E_Parent consent
Screening/photo form_Child	0920-23FJ	Attachment 2A_Data collection form A
Screening/photo form_Screener	0920-23FJ	Attachment 2B_Data collection form B

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ICR Summary of Burden

	Total Request	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	2,006	0	0	2,006	0	0
Annual Time Burden (Hours)	827	0	0	827	0	0
Annual Cost Burden (Dollars)	56,033	0	0	56,033	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: The total estimated annualized burden hours are 827 for this request for a new submission.

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Annual Cost to Federal Government: $170,182

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 10/19/2023

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