OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring State Nutrition, Physical Activity and Obesity Programs

ICR 200910-0920-012 · OMB 0920-0669 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
State Program Interim Reporting System Form Modified Repair queued
Attachment_C_funded_states_FY2009.doc Supplementary Document Uploaded 2009-09-21 Available
Attachment_B 60-day FRN.pdf Supplementary Document Uploaded 2009-09-21 Available
Attachment_A_Authorizing_Legislation.doc Supplementary Document Uploaded 2009-09-21 Available
Attachment_E_Table_of_Data_Revisions_08-14-09.doc Supplementary Document Uploaded 2009-09-21 Available
0920-0669_SS_10 15 09.doc Supporting Statement A Uploaded 2009-10-19 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
7137 State Program Interim Reporting System Form Modified
ICR Details
0920-0669 200910-0920-012
Historical Active 200805-0920-001
HHS/CDC
Monitoring State Nutrition, Physical Activity and Obesity Programs
Revision of a currently approved collection   No
Regular
Approved without change 12/23/2009
Retrieve Notice of Action (NOA) 10/26/2009
  Inventory as of this Action Requested Previously Approved
12/31/2012 36 Months From Approved 06/30/2011
25 0 56
250 0 672
0 0 0
Information will be collected to monitor the activities conducted by awardees for "State Nutrition, Physical Activity and Obesity Programs." The program was established to prevent and control obesity by supporting States in the development and implementation of nutrition and physical activity interventions. Burden has been decreased for the current 5 year funding cycle.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  72 FR 71415 12/17/2007
74 FR 47802 09/17/2009
No
1
IC Title Form No. Form Name
State Program Interim Reporting System none State Program Interim Reporting
  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 25 56 0 -31 0 0
Annual Time Burden (Hours) 250 672 0 -422 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Changing Forms
The program reissued its cooperative agreement in June 2008 and made minor changes. The changes necessitate adjusting the data collection instrument. We reduced the number of questions and changed to annual, vs seminannual, collection frequency. Changes to the forms are proposed and the burden estimate has decreased. The program also requests the title change to "Monitoring State Nutrition, Physical Activity and Obesity Programs."
$15,210
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.
10/26/2009