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 201210-0920-012 · OMB 0920-0889 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Retrospective Data Collection Form Modified Available
Traditional Foods Shared Data Elements Form Modified Available
0920-0889 Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-10-25 Available
Att 4c. Email with Link to SDE.doc Supplementary Document Uploaded 2011-03-23 Available
Att 4b. Partner Notification-Shared Data Elements.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 4c. Email with Link to SDE.doc Supplementary Document Uploaded 2011-03-23 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
197196 Retrospective Data Collection Form Modified
197195 Traditional Foods Shared Data Elements Form Modified
ICR Details
0920-0889 201210-0920-012
Historical Active 201104-0920-001
HHS/CDC
Using Traditional Foods and Sustainable Ecological Approaches for Health Promotion and Diabetes Prevention in American Indian/Alaska Native Communities
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/31/2012
Retrieve Notice of Action (NOA) 10/26/2012
Previous terms continue: 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 06/30/2014 06/30/2014
40 0 40
80 0 80
0 0 0
CDC requests minor changes in the information collection instrument to clarify wording and to improve usability and respondent satisfaction.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
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 40 0 0 0 0
Annual Time Burden (Hours) 80 80 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$63,955
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
10/26/2012