OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Using Traditional Foods and Sustainable Ecological Approaches for Health Promotion and Diabetes Prevention in American Indian/Alaska Native Communities

ICR 201104-0920-001 · OMB 0920-0889 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Retrospective Data Collection Form New Repair queued
Traditional Foods Shared Data Elements Form New Available
SS_Part B_03222011.docx Supporting Statement B Uploaded 2011-03-23 Available
Att 5. Ex Narrative and Story 050510.PDF Supplementary Document Uploaded 2011-03-23 Available
Att 3. List of funded applicants.doc Supplementary Document Uploaded 2011-03-23 Repair queued
Att 2. 60-day FRN 11.17.2010.pdf Supplementary Document Uploaded 2011-03-23 Available
Att 1. Authorizing Legislation.doc Supplementary Document Uploaded 2011-03-23 Available
Att 4c. Email with Link to SDE.doc Supplementary Document Uploaded 2011-03-23 Repair queued
Att 4b. Partner Notification-Shared Data Elements.doc Supplementary Document Uploaded 2011-03-23 Available
Att 4b. Partner Notification-Shared Data Elements.doc Supplementary Document Uploaded 2011-03-23 Available
Att 4c. Email with Link to SDE.doc Supplementary Document Uploaded 2011-03-23 Repair queued
SS_Part A_03222011.docx Supporting Statement A Uploaded 2011-03-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
197196 Retrospective Data Collection Form New
197195 Traditional Foods Shared Data Elements Form New
ICR Details
0920-0889 201104-0920-001
Historical Active
HHS/CDC
Using Traditional Foods and Sustainable Ecological Approaches for Health Promotion and Diabetes Prevention in American Indian/Alaska Native Communities
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/27/2011
Retrieve Notice of Action (NOA) 04/07/2011
Approved with the understanding that the data collected will not be used for program evaluation.
  Inventory as of this Action Requested Previously Approved
06/30/2014 36 Months From Approved
40 0 0
80 0 0
0 0 0
CDC requests OMB approval to collect standardized information, called Traditional Foods Shared Data Elements (SDE), from grantees over a 3 year period. Information will be collected electronically twice per year. Respondents will be Tribes and Tribal organizations that are implementing culturally appropriate programs to promote health and prevent Type 2 diabetes.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 70265 11/17/2010
76 FR 5378 01/31/2011
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 40 0 0 40 0 0
Annual Time Burden (Hours) 80 0 0 80 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR, previously reviewed by OMB and resubmitted here with screen shots and separate A and B supporting statements, per OMB guidance.
$63,955
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Carol Walker 4046394773
  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.
04/07/2011