Emergency Zika Package IV: Assessment of Contraceptive Use and Needs, Puerto Rico, 2016

ICR 201605-0920-008

OMB: 0920-1114

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2016-05-18
Supporting Statement A
2016-05-17
Supplementary Document
2016-05-17
Supplementary Document
2016-05-17
Supplementary Document
2016-05-17
IC Document Collections
ICR Details
0920-1114 201605-0920-008
Historical Active
HHS/CDC 16AKV
Emergency Zika Package IV: Assessment of Contraceptive Use and Needs, Puerto Rico, 2016
New collection (Request for a new OMB Control Number)   No
Emergency 05/18/2016
Approved without change 05/19/2016
Retrieve Notice of Action (NOA) 05/18/2016
  Inventory as of this Action Requested Previously Approved
11/30/2016 6 Months From Approved
14,500 0 0
825 0 0
0 0 0

This is a request for emergency OMB approval of the information collection, “Emergency Zika Package IV: Assessment of Contraceptive Use and Needs, Puerto Rico, 2016.” CDC requests six months of OMB clearance. After review of the available evidence, CDC recently concluded that Zika virus infection during pregnancy is a cause of microcephaly and other brain defects. Given the adverse pregnancy and birth outcomes associated with Zika virus infection during pregnancy, it is more important than ever for women who do not desire pregnancy now to have access to effective contraception. The objective of this assessment is to collect scientifically valid, current information on various aspects of contraceptive use and related reproductive health topics from a representative sample of women of reproductive age throughout Puerto Rico.
This information will provide the Puerto Rican government and CDC’s emergency response team a basis on which to make decisions regarding the distribution of effective contraceptive methods among residents of the island who are in need of contraception, Additionally, the study will help to answer several important questions related to contraceptive use, contraceptive needs, and pregnancy in Puerto Rico that will be useful in order to help minimize the risk of Zika-related birth defects among newborn. Collection of this information is essential to the CDC's mission to protect America from health, safety and security threats, both foreign and in the U.S.

US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None

Not associated with rulemaking

No

2
IC Title Form No. Form Name
Contraceptive Assessment Screen NA
Contraceptive Assessment Questionnaire NA

  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 14,500 0 0 14,500 0 0
Annual Time Burden (Hours) 825 0 0 825 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The submission is a New Emergency ICR for assessment of contraceptive use in Puerto Rico in the context of the Zika Virus outbreak.

$94,656
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 wtj5@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.
05/18/2016


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