OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Improving the Quality and Delivery of CDC's Heart Disease and Stroke Prevention Programs

ICR 200906-0920-003 · OMB 0920-0864 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form no number Web-based Surveys Form New Available
Supporting Statement B - 5.11.09.doc Supporting Statement B Uploaded 2009-05-21 Available
Attachment 3-Question Bank.doc Supplementary Document Uploaded 2009-05-22 Repair queued
Attachment 10-Data Collection Request Form.doc Supplementary Document Uploaded 2009-05-22 Repair queued
Attachment 5- Example Solicitation Email.doc Supplementary Document Uploaded 2009-05-22 Available
Attachment 11-Annual Report to OMB Template.xls Supplementary Document Uploaded 2009-05-22 Repair queued
Attachment 9-Generic Clearance User Guide.doc Supplementary Document Uploaded 2009-05-22 Repair queued
Attachment 4-DHDSP Evaluation Plan.pdf Supplementary Document Uploaded 2009-05-22 Available
Attachment 2B-Summary of Public Comments.doc Supplementary Document Uploaded 2009-05-22 Available
Attachment 2A-Federal Register Notice.pdf Supplementary Document Uploaded 2009-05-22 Repair queued
Attachment 1-Authorizing Legislation.doc Supplementary Document Uploaded 2009-05-22 Available
Supporting Statement A - 5.11.09.doc Supporting Statement A Uploaded 2009-05-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
189505 Focus Groups Other-Focus Group Guide New
189504 Interviews Other-Example Telephone Script New
189503 Web-based Surveys Form New
ICR Details
0920-0864 200906-0920-003
Historical Inactive
HHS/CDC
Improving the Quality and Delivery of CDC's Heart Disease and Stroke Prevention Programs
New collection (Request for a new OMB Control Number)   No
Regular
Withdrawn 11/16/2009
Retrieve Notice of Action (NOA) 06/11/2009
Withdrawn consistent with memo from CDC received on 11/16/2009. OMB will work with CDC to revise and resubmit the package.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0
CDC's Division of Heart Disease and Stroke Prevention (DHDSP)proposes to collect information from key partners in state and local health departments, the private sector, and academic institutions in order to evaluate the relevance, quality and impact of DHDSP services and programs, and to improve services and programs. A generic clearance is requested in order to provide flexibility.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  73 FR 75721 12/12/2008
74 FR 23864 05/21/2009
Yes
3
IC Title Form No. Form Name
Interviews
Web-based Surveys no number Example Web-Based Survey
Focus Groups
Yes
Miscellaneous Actions
No
This is a request for a new generic data collection.
$133,257
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.
06/11/2009