School Health Policies and Practices Study 2012

OMB Control No: 0920-0445	ICR Reference No: 201307-0920-004
Status: Historical Active	Previous ICR Reference No: 201105-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 19752
Title: School Health Policies and Practices Study 2012
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/16/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/09/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved
Responses	13,862	0	0
Time Burden (Hours)	9,722	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests OMB approval to conduct a national study of school health policies and practices at the state, district, school, and classroom levels. Information will be collected in the spring of 2012.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 9919	02/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 34385	06/07/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

IC Title Form No. Form Name School Mental Health and Social Services School Faculty and Staff Health Promotion District Physical Education and Activity District Health Services District Nutrition Services District Healthy and Safe School Environment District Mental Health and Social Services District Faculty and Staff Health Promotion District Recruitment Script (2014) District Recruitment Script (2016) State Recruitment Script (2014) State Recruitment Script (2016) School Recruitment Script Classroom Data Collection 24, 25 Health Education Classroom Questionnaire ,   Health Education Classroom Questionnaire Healthy and Safe School Environment Classroom Health Education Classroom Physical Education and Activity District Health Education School Health Education School Physical Education and Activity School Health Services School Nutrition Services

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ICR Summary of Burden

	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	13,862	0	0	13,862	0	0
Annual Time Burden (Hours)	9,722	0	0	9,722	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This reinstatement with changes seeks to conduct a SHPPS in 2016 that will collect information only at the district level and will replicate methods and processes previously approved in the 2012 cycle of SHPPS.

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Annual Cost to Federal Government: $7,202,990

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Thelma Sims 4046394771

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 07/09/2013

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