OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Assessing the Adoption and Utility of National Diabetes Education Program (NDEP) Tools and Resources for Health Care Professionals and Health Education Facilitators

ICR 201410-0920-026 · OMB 0920-1055 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-14VL PPOD Guide & Toolkit Survey (Federal Government Sector) Form and Instruction New Available
New Beginnings Assessment Survey (State/Local Government Sector) Form and Instruction New Available
Form 0920-14VL PPOD Guide & Toolkit Survey (State and Local Government Sector) Form and Instruction New Available
New Beginnings Assessment Survey (Private Sector) Form and Instruction New Available
Form 0920-14VL PPOD Guide & Toolkit Survey (Private Sector) Form and Instruction New Available
Attachment 2 60day FRN 4 30 2014.pdf Supplementary Document Uploaded 2014-11-12 Available
Attachment 1 Public Health Service Act.doc Supplementary Document Uploaded 2014-11-12 Available
Attachment 5 IRB Approval.pdf Supplementary Document Uploaded 2014-10-22 Available
Supporting Statement B_3 11 2015.docx Supporting Statement B Uploaded 2015-03-18 Available
Supporting Statement A_3 11 2015.docx Supporting Statement A Uploaded 2015-03-18 Available
IC Document Collections
IC IDCollectionTypeStatusForm
213589 PPOD Guide & Toolkit Survey (Federal Government Sector) Form and Instruction New
213588 New Beginnings Assessment Survey (State/Local Government Sector) Form and Instruction New
213585 PPOD Guide & Toolkit Survey (State and Local Government Sector) Form and Instruction New
213582 New Beginnings Assessment Survey (Private Sector) Form and Instruction New
213579 PPOD Guide & Toolkit Survey (Private Sector) Form and Instruction New
ICR Details
0920-1055 201410-0920-026
Historical Active
HHS/CDC 0920-14VL
Assessing the Adoption and Utility of National Diabetes Education Program (NDEP) Tools and Resources for Health Care Professionals and Health Education Facilitators
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/20/2015
Retrieve Notice of Action (NOA) 11/12/2014
  Inventory as of this Action Requested Previously Approved
03/31/2016 12 Months From Approved
1,000 0 0
233 0 0
0 0 0
CDC will collect information to assess use of, and audience satisfaction with, diabetes education resources. Target audiences are health educators and primary health care providers who serve patients with diabetes, with emphasis on the medical specialties of pharmacy, podiatry, optometry, and dentistry.
US Code: 42 USC 301 Name of Law: Public Health Service
  
None
Not associated with rulemaking
  79 FR 24438 04/30/2014
79 FR 63124 10/22/2014
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 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 233 0 0 233 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR request.
$219,903
Yes Part B of Supporting Statement
No
No
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.
11/10/2014