OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of Childhood Obesity Prevention and Control Initiative: New York City Healthy Bucks Program

ICR 201004-0920-009 · OMB 0920-0855 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Neighborhood Resident Survey Form New Repair queued
Focus Group with Consumers Form New Available
Farmers Market Consumer Survey Form New Available
Focus Groups with Farmers Market Vendors Form New Repair queued
Farmers Market Vendors Survey Form New Repair queued
Farmers Market Managers Survey Form New Available
Local Community Organization Survey Form New Available
Supporting Statement Part B_12.28.09.doc Supporting Statement B Uploaded 2010-03-31 Available
Appendix K - Project Consultants.doc Supplementary Document Uploaded 2010-04-01 Repair queued
Institutional Review Board Notice of Approval_study modification(09).PDF Supplementary Document Uploaded 2010-04-01 Available
Appendix J IRB Approval_01.21.10.PDF Supplementary Document Uploaded 2010-04-01 Repair queued
Appendix B - FRN 12.17.09.pdf Supplementary Document Uploaded 2010-03-31 Available
Appendix A - Authorizing Legislation.doc Supplementary Document Uploaded 2010-03-31 Available
Appendix H-2 Consumer FG Consent Form_01.21.10.doc Supplementary Document Uploaded 2010-04-01 Repair queued
Appendix G-2 Consumer Fact Sheet_01.21.10.doc Supplementary Document Uploaded 2010-04-01 Available
Appendix F-2 Vendor FG Consent Form_01.21.10.doc Supplementary Document Uploaded 2010-04-01 Available
Appendix E-2 Vendor Fact Sheet_01.21.10.doc Supplementary Document Uploaded 2010-03-31 Repair queued
Appendix D-2 Manager Fact Sheet_01.21.10.doc Supplementary Document Uploaded 2010-03-31 Repair queued
Supporting Statement Part A_12.28.09.doc Supporting Statement A Uploaded 2010-03-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
192695 Neighborhood Resident Survey Form New
192694 Focus Group with Consumers Form New
192693 Farmers Market Consumer Survey Form New
192692 Focus Groups with Farmers Market Vendors Form New
192691 Farmers Market Vendors Survey Form New
192690 Farmers Market Managers Survey Form New
192689 Local Community Organization Survey Form New
ICR Details
0920-0855 201004-0920-009
Historical Active
HHS/CDC
Evaluation of Childhood Obesity Prevention and Control Initiative: New York City Healthy Bucks Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/12/2010
Retrieve Notice of Action (NOA) 04/23/2010
  Inventory as of this Action Requested Previously Approved
07/31/2011 12 Months From Approved
4,112 0 0
660 0 0
0 0 0
Childhood obesity is a major public health concern. In response to this growing public health crisis, CDC is working to identify promising local programs and policies designed to prevent childhood obesity. Priority is given to programs and policies targeting improved eating habits and physical activity levels among children in low-income communities. The NYC Health Bucks program is one program selected for further evaluation in 2010.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  74 FR 66970 12/17/2009
75 FR 16128 03/31/2010
No
  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 4,112 0 0 4,112 0 0
Annual Time Burden (Hours) 660 0 0 660 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$623,804
Yes Part B of Supporting Statement
Yes
No
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.
04/23/2010