OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Community Transformation Grants: Use of System Dynamics Modeling and Economic Analysis in Select Communities

ICR 201203-0920-005 · OMB 0920-0937 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
SS-Part B_CTG.SDM_022812 doc (2).docx Supporting Statement B Uploaded 2012-03-01 Available
Att 5_CTGEvaluationPlan.doc Supplementary Document Uploaded 2012-03-02 Available
Att 4_CTG Awardees.docx Supplementary Document Uploaded 2012-03-02 Available
Att 3_Strategic Directions.docx Supplementary Document Uploaded 2012-03-02 Available
Att 2_FRN.pdf Supplementary Document Uploaded 2012-03-01 Available
Att 1c_PHSAct.pdf Supplementary Document Uploaded 2012-03-01 Available
Att 1b_PL 111-148 ACA Section 4201 CTG.docx Supplementary Document Uploaded 2012-03-01 Repair queued
Attachment 1a_ARRAAct.doc Supplementary Document Uploaded 2012-03-01 Available
CTG SDM_SS-Part A_041212.docx Supporting Statement A Uploaded 2012-05-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
201557 CTG Cost Study Instrument (CTG-CSI) Other-WORD New
ICR Details
0920-0937 201203-0920-005
Historical Active
HHS/CDC
Community Transformation Grants: Use of System Dynamics Modeling and Economic Analysis in Select Communities
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/04/2012
Retrieve Notice of Action (NOA) 03/14/2012
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved
480 0 0
6,240 0 0
0 0 0
CDC plans to collect cost data from 30 Community Transformation Grant (CTG) awardees. Information will be analyzed to estimate the direct costs associated with particular community intervention approaches implemented with CTG funding.
US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 58 VIII Name of Law: American Recovery and Reinvestment Act
   PL: Pub.L. 111 - 148 4201 Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  76 FR 76976 12/09/2011
77 FR 13607 03/07/2012
No
1
IC Title Form No. Form Name
CTG Cost Study Instrument (CTG-CSI)
  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 480 0 0 480 0 0
Annual Time Burden (Hours) 6,240 0 0 6,240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection request.
$166,211
Yes Part B of Supporting Statement
Yes
Yes
No
Yes
Uncollected
Thelma Sims 4046394771
  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.
03/14/2012