OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200910-0920-006 · OMB 0920-0823 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form No number Coalition Leader Interview Form Modified Available
Form No number Coalition Member Survey Form Modified Available
Form No number User Feedback Survey Form Modified Available
Form No number Online Training Survey Form Modified Available
Attachment H -- Consent Forms (2).doc Supplementary Document Uploaded 2009-10-01 Available
Change Request Justification.09.30.09.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-10-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
188800 Coalition Leader Interview Form Modified
188799 Coalition Member Survey Form Modified
188798 User Feedback Survey Form Modified
188797 Online Training Survey Form Modified
ICR Details
0920-0823 200910-0920-006
Historical Active 200904-0920-008
HHS/CDC
Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/28/2009
Retrieve Notice of Action (NOA) 10/16/2009
  Inventory as of this Action Requested Previously Approved
09/30/2012 09/30/2012 09/30/2012
1,740 0 1,740
353 0 353
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
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 1,740 0 0 0 0
Annual Time Burden (Hours) 353 353 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
10/16/2009