Poison Help General Population Survey

ICR 201709-0915-001

OMB: 0915-0343

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2017-09-15
Supplementary Document
2017-09-15
Supplementary Document
2017-09-15
Supporting Statement B
2017-09-15
Supporting Statement A
2017-09-15
IC Document Collections
IC ID
Document
Title
Status
198611 Modified
ICR Details
0915-0343 201709-0915-001
Historical Active 201107-0915-001
HHS/HSA
Poison Help General Population Survey
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/19/2017
Retrieve Notice of Action (NOA) 09/18/2017
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved
4,600 0 0
374 0 0
0 0 0

The Poison Help campaign is the vehicle for introducing the national toll-free telephone number for use in poisoning emergencies and providing poison prevention information. The goal of the Poison Help General Population Survey is to measure the campaign’s current performance. The audience for the campaign is very broad—any person at any time is a potential user of poison center services. A nationally representative tracking survey, required by law for campaign evaluation and reporting, is conducted approximately every 5 years among 2,000 U.S. adult households. The next survey will be conducted by Fall 2017.

PL: Pub.L. 110 - 377 3770-2932 Name of Law: Poison Cetner Support, Enhancement, and Awareness Act of 2008
  
None

Not associated with rulemaking

  82 FR 31611 07/07/2017
82 FR 43391 09/15/2017
No

1
IC Title Form No. Form Name
Poison Help General Population Survey 2, 1 Appendix B - General Population Survey.docx ,   Appendix C - General Population Survey Screener.docx

  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 4,600 0 0 4,600 0 0
Annual Time Burden (Hours) 374 0 0 374 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
In the 2017 survey instrument, questions deemed unnecessary (because information can be gleaned from other questions) were removed, and included questions related to the new additional campaign priorities (opioid, that is, prescription pain medication and heroin, overdose). In light of the current need to use of dual-frame landline and mobile phone, sampling methodologies to maintain high quality nationally representative survey sampling, standard questions related to landline vs. cell phone utilization were added for weighting and quality control purposes. Between the previously approved and conducted study in 2011 and this current initiative, there is a minimal increase in burden, from 370 to 374.

$109,200
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Elyana Bowman 301 443-3983 enadjem@hrsa.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.
09/18/2017


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