ClearanceForm_HNB Survey _NICHD OMB 0925-0532 (2)

ClearanceForm_HNB Survey _NICHD OMB 0925-0532 (2).docx

NICHD Research Partner Satisfaction Surveys

ClearanceForm_HNB Survey _NICHD OMB 0925-0532 (2)

OMB: 0925-0532

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SUBMISSION OF INFORMATION COLLECTION

UNDER GENERIC CLEARANCES



DATE OF REQUEST: _____7-26-10_________


SUB AGENCY (I/C): ______NICHD_________


TITLE: ___________Healthy Native Babies Post-training Survey____________________


GENERIC CLEARANCE UNDER OMB# ­_0925-0532__ EXP. DATE: __1/31/2011___________


ABSTRACT:

The Healthy Native Babies Project conducted 14 one-day training sessions in 2009 to assist health professionals and community workers with skills needed to effectively communicate SIDS risk-reduction messages to American Indian and Alaska Native families. Attendees received a Workbook, Resource CD, and Toolkit CDROM to assist them in providing outreach efforts in local communities. A follow-up post-training survey is proposed to find out if attendees have been conducting outreach in their communities over the last year and utilizing the information, materials, and tools provided. We would also like to know the reasons for not conducting outreach and/or the challenges faced along with any other suggestions as we move forward with the project. The survey will be sent out to all 152 attendees via email with a link to complete the survey online using a web-based survey tool.











TOTAL ANNUAL BURDEN APPROVED: _1961_________


BURDEN USED TO DATE: ___120.4_______


BURDEN THIS REQUEST: __26 hours________


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ______NO___x___N/A


OBLIGATION TO RESPOND:


___x___ VOLUNTARY


______ REQUIRED TO OBTAIN OR RETAIN BENEFITS


______ MANDATORY


HOW WILL THIS SURVEY BE OFFERED?


___x__ WEB SITE



_____ TELEPHONE INTERVIEW


_____ MAIL RESPONSE


_____ IN PERSON INTERVIEW


_____ OTHER: ___________________________________


CONTACT INFORMATION:


NAME: ____________Shavon Artis_______________________________


TELEPHONE NUMBER: ___________301-435-3459_______________


EMAIL ADDRESS: ____________artiss@mail.nih.gov ___________________

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleINFORMATION COLLECTION REQUEST FOR GENERIC CLEARANCES
Authorcurriem
File Modified0000-00-00
File Created2021-02-01

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