OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)

ICR 200904-0920-008 · OMB 0920-0823 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form No number Coalition Leader Interview Form New Available
Form No number Coalition Member Survey Form New Available
Form No number User Feedback Survey Form New Available
Form No number Online Training Survey Form New Available
ICR_NYVPRC_Attachment-G-Coalition-Member-Survey(2).doc Supplementary Document Uploaded 2009-09-17 Available
ICR_NYVPRC_Attachment-F-Coalition-Leader-Interview(2).doc Supplementary Document Uploaded 2009-09-17 Repair queued
lynk promotional flyer text - cleared 080309.doc Supplementary Document Uploaded 2009-09-17 Repair queued
Attachment H -- Consent Forms (2).doc Supplementary Document Uploaded 2009-09-17 Available
Attachment E -- Training Survey Questions_revised.doc Supplementary Document Uploaded 2009-09-17 Available
ICR_NYVPRC_Supporting Statement.B.9.15.09.doc Supporting Statement B Uploaded 2009-09-15 Available
Attachment I -- IRB Determination.pdf Supplementary Document Uploaded 2009-04-02 Available
Attachment C FW PUBLIC CMOMENT ON FEDERAL REGISTER.htm Supplementary Document Uploaded 2009-04-02 Available
Attachment B -- NYVPRC Evaluation 60-day notice.pdf Supplementary Document Uploaded 2009-04-02 Available
Attachment A -- Section 301 of the Public Health Services Act.doc Supplementary Document Uploaded 2009-04-02 Available
ICR_NYVPRC_Supporting-Statement.A.9.15.09.doc Supporting Statement A Uploaded 2009-09-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
188800 Coalition Leader Interview Form New
188799 Coalition Member Survey Form New
188798 User Feedback Survey Form New
188797 Online Training Survey Form New
ICR Details
0920-0823 200904-0920-008
Historical Active
HHS/CDC
Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/28/2009
Retrieve Notice of Action (NOA) 04/14/2009
  Inventory as of this Action Requested Previously Approved
09/30/2012 36 Months From Approved
1,740 0 0
353 0 0
0 0 0
In October 1999 the White House established the Council on Youth Violence to coordinate youth violence prevention activities of all federal agencies. The Council in collaboration with CDC would like to evaluate a pilot implementation of the revised NYVPRC website which targets local government and community leaders.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  73 FR 45010 08/01/2008
74 FR 14991 04/02/2009
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 1,740 0 0 1,740 0 0
Annual Time Burden (Hours) 353 0 0 353 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$285,100
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604
  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.
04/14/2009