OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

National Public Health Performance Standards Program Local Public Health System Performance Assessment

ICR 201007-0920-008 · OMB 0920-0555 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Local Public Health System Performance Assessment Instrument Form and Instruction Modified Available
SS_Part_B_5-28-2010.docx Supporting Statement B Uploaded 2010-07-15 Repair queued
Att D_PossibleResp for use of NPHPSP Instr.xls Supplementary Document Uploaded 2010-07-15 Available
Att C_Work Group Members.doc Supplementary Document Uploaded 2010-07-15 Repair queued
Att B 60 dy FRN-Local.pdf Supplementary Document Uploaded 2010-07-15 Available
Att A.pdf Supplementary Document Uploaded 2010-07-15 Available
Att H_Screen Shots_Web Based System.docx Supplementary Document Uploaded 2010-07-15 Repair queued
Att G_ Data Entry Instructions_1007.docx Supplementary Document Uploaded 2010-07-15 Repair queued
Att F_Mtg Guide.doc Supplementary Document Uploaded 2010-07-15 Available
Att E.4_Local Agency Contribution.pdf Supplementary Document Uploaded 2010-07-15 Available
Att E.3_Local Priority.pdf Supplementary Document Uploaded 2010-07-15 Repair queued
Att E.2_Local RIF.pdf Supplementary Document Uploaded 2010-07-15 Available
Supp Stmt Part_A (Revised-2).docx Supporting Statement A Uploaded 2010-07-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7006 Local Public Health System Performance Assessment Instrument Form and Instruction Modified
ICR Details
0920-0555 201007-0920-008
Historical Active 200706-0920-001
HHS/CDC
National Public Health Performance Standards Program Local Public Health System Performance Assessment
Extension without change of a currently approved collection   No
Regular
Approved without change 08/27/2010
Retrieve Notice of Action (NOA) 07/28/2010
Previous terms of clearance apply.
  Inventory as of this Action Requested Previously Approved
08/31/2013 36 Months From Approved 08/31/2010
350 0 350
5,600 0 5,600
0 0 0
CDC proposes to extend without changes the currently approved data collection instrument related to the public health infrastructure and performance of local public health systems. The target audience for this instrument is local public health systems; the "system" includes the local public health agency and other local-level partners that contribute to public health. The data collection instrument solicits comprehensive data about how well local public health systems are meeting optimal standards established for each of the ten Essential Public Health Services. This data collection is used by responding local jurisdictions as well as by CDC and national partners. Respondents (local public health agencies and their system partners) use this data collection instrument to inform strategic planning and performance improvement efforts, as the information provides critical input regarding its strengths and weaknesses. CDC and other national partners use the aggregate national data to monitor progress toward the accomplishment of national infrastructure objectives included in Healthy People 2010 and to strengthen our understanding of strengths and weaknesses in state and local public health practice. A similar objective is slated for inclusion in Healthy People 2020. Such information is critical for making better and more effective policy and resource decisions that will improve the nation's public health as a whole.
US Code: 42 USC 241 Name of Law: Public Health Services Act
  
None
Not associated with rulemaking
  75 FR 13132 03/18/2010
75 FR 41206 07/15/2010
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 350 350 0 0 0 0
Annual Time Burden (Hours) 5,600 5,600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$375,000
Yes Part B of Supporting Statement
No
No
Uncollected
No
Uncollected
Petunia Gissendaner 4046390164
  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.
07/28/2010