OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Prevention Research Centers Program National Evaluation Reporting System

ICR 201004-0920-013 · OMB 0920-0650 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
PRC Indicator Survey Form Modified Repair queued
PRC Telephone Interview Form New Available
0920-0650_SS_B_03.24.2010.docx Supporting Statement B Uploaded 2010-04-12 Available
Non-research determination 0920-0650.pdf Supplementary Document Uploaded 2010-04-12 Available
Attachment 6. Consultants.doc Supplementary Document Uploaded 2010-04-12 Available
Attachment 3. Indicators.doc Supplementary Document Uploaded 2010-04-12 Available
Attachment 2B. Public Comment and CDC Response.docx Supplementary Document Uploaded 2010-04-12 Repair queued
Attachment 2A. Federal Register Notice.pdf Supplementary Document Uploaded 2010-04-12 Available
Attachment 1. Authorizing Legislation.pdf Supplementary Document Uploaded 2010-04-12 Available
0920-0650_SS_A_03.24.2010.docx Supporting Statement A Uploaded 2010-04-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
37806 PRC Indicator Survey Form Modified
192734 PRC Telephone Interview Form New
ICR Details
0920-0650 201004-0920-013
Historical Active 200706-0920-012
HHS/CDC
Prevention Research Centers Program National Evaluation Reporting System
Revision of a currently approved collection   No
Regular
Approved without change 06/03/2010
Retrieve Notice of Action (NOA) 04/27/2010
  Inventory as of this Action Requested Previously Approved
06/30/2013 36 Months From Approved 08/31/2010
74 0 66
259 0 279
0 0 0
This request for revision of electronic collection of information (OMB 0920-0650, exp. 8/31/2010) is from the Prevention Research Centers (PRC) Program of CDC. This revision includes change to data collection methods, modify title, reduce the number of questions and propose collecting data only annually, and increase the number of respondent PRCs. PRCs are housed in schools of public health or medicine. They conduct health promotion and disease prevention research on a range of topics using a multi-disciplinary and community-based approach. Partners collaborate with the PRC to assess community health priorities, identify research priorities, set a research agenda, conduct research projects and related activities such as training and technical assistance, and disseminate research to public health practitioners, researchers, and the general public. The PRC Information System (IS) is a web-based application to collect information related to work plans and progress reports and to track progress toward the PRC performance indicators.
PL: Pub.L. 98 - 551 771 Name of Law: Health Promotion and Disease Prevention Amendments of 1984
  
None
Not associated with rulemaking
  75 FR 4395 01/27/2010
75 FR 18503 04/12/2010
Yes
2
IC Title Form No. Form Name
PRC Indicator Survey none Web-based Survey
PRC Telephone Interview none Telephone Interview
  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 74 66 0 8 0 0
Annual Time Burden (Hours) 259 279 0 -20 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This request is for a revision, with an overall decrease in burden and increase in respondents. The program requests approval by June 1 so they can provide some training on new procedures before the first data collection cycle. The program would like to change the title to "Prevention Research Centers Program National Evaluation Reporting System".
$153,000
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.
04/27/2010