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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"

ICR 200906-0920-002 · OMB 0920-0669 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form No number State Program Interim Reporting System (SPIRS) Form Modified Available
0920-0669_Change_Overview_5-14-09.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-05-20 Available
Attachment 2 Table of Data Revisions 05-01-09.doc Supplementary Document Uploaded 2009-05-20 Available
Attachment 2 Table of Data Revisions 05-01-09.doc Supplementary Document Uploaded 2009-05-21 Available
Attachment 1 Revised Survey 05-01-09.pdf Supplementary Document Uploaded 2009-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7137 State Program Interim Reporting System (SPIRS) Form Modified
ICR Details
0920-0669 200906-0920-002
Historical Inactive 200805-0920-001
HHS/CDC
Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"
No material or nonsubstantive change to a currently approved collection   No
Regular
Improperly submitted and continue 06/12/2009
Retrieve Notice of Action (NOA) 06/08/2009
Submission includes changes to both burden and data elements. Should be resubmitted to OMB as a "substantive" change request.
  Inventory as of this Action Requested Previously Approved
06/30/2011 06/30/2011 06/30/2011
56 0 56
672 0 672
0 0 0
This program evaluation will collect data to monitor the processes and outcomes of the activities performed in the program "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases." The program was established to prevent and control obesity by supporting States in the development and implementation of nutrition and physical activity interventions, particularly through population-based strategies such as policy-level changes, environmental supports and the social marketing process.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  72 FR 71415 12/17/2007
73 FR 14254 03/17/2008
No
1
IC Title Form No. Form Name
State Program Interim Reporting System (SPIRS) No number Progress Monitoring Report
No
Yes
Miscellaneous Actions
Resulting from a reissuance of the cooperative agreement, there is a slight decrease in the number of respondents and the overall burden. There are minor modifications to the data collection instrument, and a change in the title.
$220,252
No
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.
06/08/2009