OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information System)

ICR 201103-0920-002 · OMB 0920-0679 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
SS_B 02.16.2011.docx Supporting Statement B Uploaded 2011-03-01 Available
Attachment 5. Usability Testing Participants.doc Supplementary Document Uploaded 2011-03-01 Available
Attachment 2b. Summary of Public Comments.docx Supplementary Document Uploaded 2011-03-01 Available
Attachment 5. Usability Results.doc Supplementary Document Uploaded 2008-01-16 Available
SS_A 02.16.2011.docx Supporting Statement A Uploaded 2011-03-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7147 Heart Disease and Stroke Prevention Programs Other-WORD Modified
183886 WISEWOMAN Programs Other-WORD Removed
ICR Details
0920-0679 201103-0920-002
Historical Active 200802-0920-011
HHS/CDC
Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information System)
Revision of a currently approved collection   No
Regular
Approved without change 04/08/2011
Retrieve Notice of Action (NOA) 03/08/2011
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved 05/31/2011
84 0 98
504 0 588
0 0 0
This Revision ICR supports continued collection of progress and activity information from health departments in selected states and the District of Columbia. Respondents are funded through the National Heart Disease and Stroke Prevention Program. Information collected through the electronic MIS is used to monitor and evaluate programs, and to provide technical assistance to NHDSPP awardees.
US Code: 42 USC 241 Name of Law: The Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 76469 12/08/2010
76 FR 10907 02/28/2011
Yes
1
IC Title Form No. Form Name
Heart Disease and Stroke Prevention Programs 1 DHDSP MIS SCREEN SHOTS
WISEWOMAN Programs
  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 84 98 0 -14 0 0
Annual Time Burden (Hours) 504 588 0 -84 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There will be a net reduction in burden hours due to a net reduction in the number of respondents. Although there will be an increase in the number of awardees funded through the NHDSPP, reporting requirements involving the MIS will be discontinued for awardees funded through the WISEWOMAN program. No changes are proposed to the information collection instrument, the burden per response, or the frequency of information collection.
$56,000
Yes Part B of Supporting Statement
Yes
No
No
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.
03/08/2011