OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring and Reporting System for Rape Prevention and Education (RPE) Program Awardees

ICR 201703-0920-012 · OMB 0920-1130 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Program Report Tool - Annual Reporting Form Unchanged Available
Work Plan Tool - Annual Reporting Form Unchanged Repair queued
Program Report Tool - Initial Population Form Modified Available
Work Plan Tool - Initial Population Form Modified Available
Crosswalk of Changes_OMB_No.0920-1130.DOCX Supplementary Document Uploaded 2017-03-27 Repair queued
Change_Request_OMB_No.0920-1130.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-03-27 Available
Att._5_ IRB-Determination.pdf Supplementary Document Uploaded 2016-05-19 Available
Att._2_60-day_FRN_v80_no228.pdf Supplementary Document Uploaded 2016-05-19 Available
Att._1c_Legislation_Violence_against_Women_Act.pdf Supplementary Document Uploaded 2016-05-19 Available
Att._1b_Legislation_Public_Health_Service_Act_280b.pdf Supplementary Document Uploaded 2016-05-19 Available
Att._1a_Legislation_Public_Health_Service_Act_247b.pdf Supplementary Document Uploaded 2016-05-19 Available
SSB_MRS_RPE_30Day_041416.docx Supporting Statement B Uploaded 2016-05-19 Available
SSA_16BX_30D_ICRO_051616.docx Supporting Statement A Uploaded 2016-05-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221590 Program Report Tool - Annual Reporting Form Unchanged
221589 Work Plan Tool - Annual Reporting Form Unchanged
221588 Program Report Tool - Initial Population Form Modified
221587 Work Plan Tool - Initial Population Form Modified
ICR Details
0920-1130 201703-0920-012
Historical Active 201605-0920-009
HHS/CDC 17AAX
Monitoring and Reporting System for Rape Prevention and Education (RPE) Program Awardees
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/30/2017
Retrieve Notice of Action (NOA) 03/29/2017
  Inventory as of this Action Requested Previously Approved
08/31/2019 08/31/2019 08/31/2019
146 0 146
654 0 654
0 0 0
CDC seeks to collect information from Rape Prevention and Education (RPE) Program awardees related to the implementation, performance and monitoring of the programs per a cooperative agreement.
US Code: 42 USC 247 Name of Law: PHSA
   US Code: 42 USC 13925 Name of Law: Violence Against Women Act
   US Code: 42 USC 280 Name of Law: PHSA
  
None
Not associated with rulemaking
  80 FR 74108 11/27/2015
81 FR 32329 05/23/2016
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 146 146 0 0 0 0
Annual Time Burden (Hours) 654 654 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new ICR.
$84,200
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  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.
03/29/2017