Workplace Health in America

ICR 201602-0920-009

OMB: 0920-1138

Federal Form Document

Forms and Documents
ICR Details
0920-1138 201602-0920-009
Historical Active
HHS/CDC 16FG
Workplace Health in America
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/26/2016
Retrieve Notice of Action (NOA) 02/25/2016
Approval is granted for a one-time administration of this survey, consistent with the understanding that, before disseminating the results, CDC will conduct a thorough assessment of the potential for non-response bias to determine if the results can be characterized as nationally representative. Requests to OMB for future approval of subsequent iterations of this collection must be accompanied by an update on the response rates observed, and an assessment of the quality and utility of each of the questions for meeting the intended goals, with a focus on streamlining the survey instrument.
  Inventory as of this Action Requested Previously Approved
09/30/2018 24 Months From Approved
16,737 0 0
3,974 0 0
0 0 0

CDC plans to assess the extent to which employers in the U.S. are implementing health promotion programs and practices. CDC will survey a nationally representative, random sample of work sites stratified by work site size, HHS region, and industry group. Hospitals will be included as a separate stratum.

PL: Pub.L. 111 - 148 1 Name of Law: Patient Protection and ACA
   US Code: 42 USC 280 Name of Law: PHSA Employer-based Wellness Program
   US Code: 42 USC 241 Name of Law: PHSA
  
None

Not associated with rulemaking

  80 FR 74110 11/27/2015
81 FR 9474 02/25/2016
No

  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 16,737 0 0 16,737 0 0
Annual Time Burden (Hours) 3,974 0 0 3,974 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR

$1,004,300
Yes Part B of Supporting Statement
No
Yes
No
No
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.
02/25/2016


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