OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Prevention Research Centers Program National Evaluation Reporting System

ICR 201601-0920-008 · OMB 0920-0650 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
PRC Indicator Survey Form Modified Available
Attachment_6_0920-0650_60-day FRN_081215.pdf Supplementary Document Uploaded 2016-01-11 Available
Attachment_3_PRC_Evaluation_Purposes_Questions_Indicators_121615.docx Supplementary Document Uploaded 2016-01-11 Available
Attachment_2_List_of_Awardees_121615.docx Supplementary Document Uploaded 2016-01-11 Available
Attachment_1_Authorizing_Legislation_121615.pdf Supplementary Document Uploaded 2016-01-11 Available
0920-0650_SS_B_121615.docx Supporting Statement B Uploaded 2016-01-11 Available
0920-0650_SS_A_121815.docx Supporting Statement A Uploaded 2016-01-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
37806 PRC Indicator Survey Form Modified
192734 PRC Key Informant Interview Other-Interview Guide Modified
ICR Details
0920-0650 201601-0920-008
Historical Active 201303-0920-013
HHS/CDC
Prevention Research Centers Program National Evaluation Reporting System
Revision of a currently approved collection   No
Regular
Approved without change 06/07/2016
Retrieve Notice of Action (NOA) 01/14/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
43 0 74
1,299 0 204
0 0 0
CDC collects information from Prevention Research Centers to monitor awardees' activities and assess their progress toward achieving goals and objectives. The instruments are being revised to reflect updated performance indicators, increased emphasis on partnerships, and other changes in the evaluation plan.
PL: Pub.L. 98 - 551 771 Name of Law: Health Promotion and Disease Prevention Amendments of 1984
  
None
Not associated with rulemaking
  80 FR 48318 08/12/2015
81 FR 1953 01/14/2016
No
2
IC Title Form No. Form Name
PRC Key Informant Interview
PRC Indicator Survey none PRCP Data Collection System
  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 43 74 0 -31 0 0
Annual Time Burden (Hours) 1,299 204 0 1,095 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase is due to a more comprehensive assessment of the time required to complete the data collection and to participate in interviews. There are decreases in the number of awardees and interview frequency.
$228,796
Yes Part B of Supporting Statement
No
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.
01/14/2016