Understanding Relationship Dynamics and Conflict Survey--Formative Study

ICR 201803-0920-020

OMB: 0920-1206

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form
Unchanged
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2018-03-29
Supplementary Document
2018-03-28
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 Unchanged
226224 Unchanged
226223 Unchanged
ICR Details
0920-1206 201803-0920-020
Historical Active 201703-0920-015
HHS/CDC 0920-1206-18YC
Understanding Relationship Dynamics and Conflict Survey--Formative Study
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/11/2018
Retrieve Notice of Action (NOA) 03/29/2018
  Inventory as of this Action Requested Previously Approved
11/30/2019 11/30/2019 11/30/2019
5,405 0 5,405
1,322 0 1,322
0 0 0

This change request is in response to the terms of agreement for approval. Privacy Act information is included. 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 5,405 0 0 0 0
Annual Time Burden (Hours) 1,322 1,322 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
03/29/2018


© 2024 OMB.report | Privacy Policy