Understanding Relationship Dynamics and Conflict Survey--Formative Study

ICR 201703-0920-015

OMB: 0920-1206

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form
New
Form
New
Supplementary Document
2017-11-08
Supplementary Document
2017-11-08
Supplementary Document
2017-11-08
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supplementary Document
2017-03-29
Supporting Statement B
2017-11-08
Supporting Statement A
2017-11-08
IC Document Collections
IC ID
Document
Title
Status
226225 New
226224 New
226223 New
ICR Details
0920-1206 201703-0920-015
Historical Active
HHS/CDC 17FB
Understanding Relationship Dynamics and Conflict Survey--Formative Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/17/2017
Retrieve Notice of Action (NOA) 04/20/2017
Approved consistent with the understanding that HHS/CDC will consult with the HHS or CDC Privacy Program/Office and clarify the applicability of its privacy responsibilities, described in OMB circular A-130 and 5 USC §552a(e)(3), to this information collection. CDC will document the reasons it has determined that a Privacy Act system records notice, Privacy Act statement, and privacy impact assessment are or are not required, and submit such documentation as deemed necessary to OMB as a change request within 6 months of the date of approval for the current ICR.
  Inventory as of this Action Requested Previously Approved
11/30/2019 24 Months From Approved
5,405 0 0
1,322 0 0
0 0 0

This is an exploratory study to gather data from a diverse and targeted convenience sample to better understand factors or groups of factors that may influence violence perpetration that occurs within adult intimate partner relationships. The study is the first component of a larger research agenda that will and is intended to inform the next phase identifying latent classes of intimate partner violence (IPV) perpetrators. For this exploratory study, the focus is gathering extensive data from the diverse convenience sample across multiple domains (e.g., attitudes, perceptions, personal experiences, victimization, etc.) identified by IPV experts and the peer reviewed literature as correlating to IPV perpetration. The information collected in this study is not intended to be generalizable to the population. Rather, these data are intended to inform future research with additional populations and more rigorous sampling strategies.

US Code: 42 USC 241 Name of Law: PHSA
  
None

Not associated with rulemaking

  81 FR 87037 12/02/2016
82 FR 18649 04/20/2017
Yes

3
IC Title Form No. Form Name
Screener none Screener
Survey - MT Respondents none Survey
Survey - Incarcerated Respondents none Survey

  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 5,405 0 0 5,405 0 0
Annual Time Burden (Hours) 1,322 0 0 1,322 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$110,420
Yes Part B of Supporting Statement
    Yes
    No
No
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.
04/20/2017


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