0920-1454 Change Request Memo 18MAR2025

Non-substantive Change Request

OMB Control Number 0920- 1454

Annual Progress Reports for Injury Control Research Centers (ICRC)

Date Submitted: 03/12/2025

Summary of request: CDC/NCIPC is requesting a change request to revise questions to better align our information collection request with the priorities of the current administration.

Description of Changes Requested: This request updates questions used in Annual Progress Reports for Injury Control Research Centers (ICRC) to better align with the priorities of the current administration.

Please check the boxes below if your request includes:

☒ Revision of an existing question(s)

☒ Deletion of an existing question(s)

If removing an existing question, the question to be removed can be included here.

Description of these actions could also be included in the Table at the bottom of this document.

Description of Changes to Burden (if applicable):

Description of Changes to Burden (if applicable): Form	Approved Burden	Requested Burden
Form 1: Att 5a. ICRC Annual Progress Report	88 hours total time 8 hours per response, 1 response per respondent, 11 respondents	There is no change in Burden Hours associated with the modifications made to better align with the priorities of the current administration.
Form 2: Att 5c. Success Stories Template	55 hours total time 1 hour per response, 5 responses per respondent, 11 respondents	There is no change in Burden Hours associated with the modifications made to better align with the priorities of the current administration.
Total	TOTAL TIME	TOTAL TIME

Other Considerations (optional): CDC can include other aspects associated with the submission of this Non-Substantive Change Request here (e.g., timing sensitivities, implementation requirements, etc.,).

Table A: Description of Changes:	Type of Change	Question/Item	Requested Change
The question is on two forms: Att 5a. ICRC Annual Progress Report Att 5c. Success Stories Template	Question Revision	Questions R15.2, O14.2, T13.2, and S11.2 (these questions are identical). Has the practice been successfully adapted? In your response, address the indicators listed below (5,000 characters max): Adaptability criteria: Has the practice been adapted for alternative contexts (settings, populations, or environments)? Is there evidence of impact in these alternative contexts? What core components or strategies are essential for adaptation? Have materials been tailored to cultural or other varying contexts?	We would like to change the last bullet from asking “have materials been tailored to cultural” to “have materials been tailored to the intended audience.” Has the practice been successfully adapted? In your response, address the indicators listed below (5,000 characters max): Adaptability criteria: Has the practice been adapted for alternative contexts (settings, populations, or environments)? Is there evidence of impact in these alternative contexts? What core components or strategies are essential for adaptation? Have materials been tailored to the intended audience or other varying contexts?
Table A: Description of Changes:	Type of Change	Question/Item	Requested Change
The question is on two forms: Att 5a. ICRC Annual Progress Report Att 5c. Success Stories Template	Question Revision and Bullet Deletion	Questions R15.3, O14.3, T13.3, S11.3 (these questions are identical). What is the reach of the practice? In your response, address the indicators listed below (5,000 characters max): Reach criteria: Has the practice reached the priority population(s)? (Please specify the priority population(s)). Has the practice been successfully delivered as intended within the priority population(s)? Has the practice addressed structural barriers to health equity? Has the practice engaged marginalized or underserved groups?	We would like to change three instances of “priority” and one instance of “marginalized or underserved groups” to “intended” populations. We would like to delete the third bullet, that asks about “structural barriers to health equity.” What is the reach of the practice? In your response, address the indicators listed below (5,000 characters max): Reach criteria: Has the practice reached the intended population(s)? (Please specify the intended population(s)). Has the practice been successfully delivered as intended within the intended population(s)? Has the practice engaged the intended populations?