Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies

ICR 201210-0920-003

OMB: 0920-1004

Federal Form Document

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Supporting Statement B
2012-09-24
Supplementary Document
2012-09-27
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2012-09-24
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2012-09-24
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2012-09-24
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2012-09-24
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Supporting Statement A
2012-09-24
ICR Details
0920-1004 201210-0920-003
Historical Inactive
HHS/CDC
Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies
New collection (Request for a new OMB Control Number)   No
Regular
Improperly submitted 10/10/2012
Retrieve Notice of Action (NOA) 10/10/2012
  Inventory as of this Action Requested Previously Approved
24 Months From Approved
0 0 0
0 0 0
0 0 0

CDC plans to conduct a quasi-experimental pretest, posttest design study with an intervention group and a comparison group to study the impact of smoke-free housing policies in multi-unit residential housing facilities. The study will include surveys of MUH operators and residents, objective measures of air quality and tobacco exposure, and focus groups with residents.

PL: Pub.L. 111 - 5 VIII Name of Law: ARRA
   PL: Pub.L. 111 - 148 4002 Name of Law: Patient Protection and ACA, Prevention and Public Health Fund
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 17065 03/23/2012
77 FR 61407 10/09/2012
Yes

15
IC Title Form No. Form Name
Recruitment of MUH Operators in LA County none Recruitment Script for MUH Operators in LA County
MUH Operator Baseline Survey none MUH Operator Baseline Survey
MUH Operator Post-intervention Survey none Post-intervention Survey
Recruitment of MUH Operators in MN, ME, FL none Recruitment Script for MUH Operators
MUH Resident Baseline Survey - screening LA county none, none Resident Baseline Survey - screener - English ,   Resident Baseline Survey - screener Spanish
Resident Baseline Survey -Core - LA County none, none Resident Baseline Survey - LA County - English ,   Resident Baseline Survey - LA County - Spanish
MUH Resident Baseline Survey - Children's Module - LA County none, none Resident Survey - Children's Module - LA County -English ,   Resident Survey - Children's Module -LA County - Spanish
MUH Resdient Post-Intervention Survey - Core - LA County none Resident Post-Intervention Survey
MUH Resident Post-intervention Survey - Children's Module - LA County none Resident Post-intervention - Children's Module - English
Resident Saliva Collection none Saliva Collection
Resident Air Quality Monitoring none, none Air Quality Monitoring Protocol ,   Air Quality Monitoring Protocol - Spanish
MUH Resident Focus Group Screening - ME, MN, FL none Focus Group Screening
Resident Pre-Focus Group Survey - ME, MN, FL none Pre-Focus Group Survey
Focus Group - Process Oriented - ME, MN, FL none Process-oriented Focus Group
Focus Group - Outcome-oriented - ME, MN, FL none Outcome-oriented Focus Group

Yes
Miscellaneous Actions
No
This is a new ICR.

$2,028,456
Yes Part B of Supporting Statement
Yes
Yes
No
Yes
Uncollected
Shari Steinberg 404 639-4942 sxw2@cdc.gov

  No

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.
10/10/2012


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