Zika Reproductive Health and Emergency Response Call-Back Survey, 2018

ICR 201712-0920-014

OMB: 0920-1223

Federal Form Document

ICR Details
0920-1223 201712-0920-014
Historical Active
HHS/CDC 0920-18KS
Zika Reproductive Health and Emergency Response Call-Back Survey, 2018
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/11/2018
Retrieve Notice of Action (NOA) 02/01/2018
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved
34,729 0 0
2,034 0 0
0 0 0

The Zika Reproductive Health and Emergency Response Call-Back Survey, (ZRHER) assess the extent to which women of reproductive age (18-49 years): are being screened for potential travel related exposure to infectious diseases, are knowledgeable about recommendations for pregnancy timing in regards to Zika exposure, and are prepared for public health emergencies, including natural disasters such as the recent hurricanes along the Gulf Coast and Caribbean. This collection has been developed to build upon similar collections that were approved for collection in Puerto Rico and is intended to help States improve their response planning for women of reproductive age that are susceptible to the negative impacts of public health emergencies, including adverse pregnancy outcomes.

US Code: 42 USC 241 Name of Law: U.S. PHSA
  
None

Not associated with rulemaking

  82 FR 19370 04/27/2017
83 FR 4056 01/29/2018
Yes

  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 34,729 0 0 34,729 0 0
Annual Time Burden (Hours) 2,034 0 0 2,034 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-18KS - Zika Reproductive Health and Emergency Response Call-Back Survey, 2018 is a New ICR that contains a Recruitment Script and Survey designed to collect information from women living in other US jurisdictions for potential exposure, particularly related to travel, which may put them at risk for additional infectious diseases that affect pregnancy,

$23,426
Yes Part B of Supporting Statement
    No
    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.
02/01/2018


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