OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring And Reporting System For Community Transformation Grant Awardees

ICR 201211-0920-002 · OMB 0920-0946 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0920-0946 Change Request Justification 10 15 2012.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-10-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
204685 Private Sector CTG Awardees - Initial Population of the CTG MIS Instruction New
204684 State/Local/Tribal Government Sector CTG Awardees - Initial Population of the CTG MIS Instruction New
203266 Private Sector CTG Awardees - Semiannual Reporting Instruction Modified
203265 State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting Instruction Modified
ICR Details
0920-0946 201211-0920-002
Historical Active 201207-0920-004
HHS/CDC
Monitoring And Reporting System For Community Transformation Grant Awardees
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/01/2012
Retrieve Notice of Action (NOA) 11/01/2012
  Inventory as of this Action Requested Previously Approved
08/31/2015 08/31/2015 08/31/2015
230 0 136
858 0 408
0 0 0
CDC Plans to collection information from awardees funder under the community transformation grant (CTG) program. Awardees will report progress and activity information to CDC unsing an electronic Management information system(MIS). Reports are due twice per year but updates can be enetered at any time. OMB approval is requested for three years.
US Code: 42 USC 241 Name of Law: USC
  
None
Not associated with rulemaking
Yes
  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 230 136 0 94 0 0
Annual Time Burden (Hours) 858 408 0 450 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The purpose of this Change Request is to incorporate the new FY 2012 CTG awardees into the MIS-based monitoring and reporting system. No changes to the content of the information collection are proposed at this time. There are no changes to the estimated burden per response; however, there will be an increase in the overall burden due to the addition of the new CTG awardees.
$178,613
Yes Part B of Supporting Statement
Yes
Yes
No
No
Uncollected
Catina Conner 4046394775
  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.
11/01/2012