OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring and Reporting System for the Division of Community Health's Cooperative Agreement Programs

ICR 201802-0920-003 · OMB 0920-1053 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Private Sector - Special Data Request Form Modified Available
Private Sector - Semi-annual Reporting Form Modified Available
Private Sector - Initial population Form Removed Available
State/Local/Tribal Sector - Special Data Reporting Form Modified Available
State/Local/Tribal - Semi-annual reporting Form Modified Available
State/Local/Tribal Sector-Initial population Form Removed Available
Att 6 NCCDPHP 684 Form.pdf Supplementary Document Uploaded 2018-02-08 Available
Att3b_DCH-PMD _User Guide_07 31 2017.docx Supplementary Document Uploaded 2018-02-08 Available
Att 5a 60-Day FRN Published.pdf Supplementary Document Uploaded 2018-02-08 Repair queued
Att 2_Awardees.docx Supplementary Document Uploaded 2018-02-08 Available
Att 1b_ACA PPHF.pdf Supplementary Document Uploaded 2018-02-08 Available
Att 1a_PHSA.pdf Supplementary Document Uploaded 2018-02-08 Available
SS Part B.docx Supporting Statement B Uploaded 2018-02-05 Available
SS Part A.docx Supporting Statement A Uploaded 2018-02-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
214570 Private Sector - Special Data Request Form Modified
214569 Private Sector - Semi-annual Reporting Form Modified
214568 Private Sector - Initial population Form Removed
214567 State/Local/Tribal Sector - Special Data Reporting Form Modified
214566 State/Local/Tribal - Semi-annual reporting Form Modified
214565 State/Local/Tribal Sector-Initial population Form Removed
ICR Details
0920-1053 201802-0920-003
Historical Active 201612-0920-001
HHS/CDC 0920-1053
Monitoring and Reporting System for the Division of Community Health's Cooperative Agreement Programs
Revision of a currently approved collection   No
Regular
Approved without change 04/11/2018
Retrieve Notice of Action (NOA) 02/27/2018
  Inventory as of this Action Requested Previously Approved
04/30/2019 12 Months From Approved 04/30/2018
147 0 311
588 0 1,596
0 0 0
Racial and Ethnic Approaches to Community Health (REACH; FOA DP14-1419PPHF14) awardees were provided supplemental funding for an additional year. CDC requests a revision to collect information from the 49 REACH awardees for an additional year via the same electronic management information system they use to provide semi-annual reports to CDC as required by the funding opportunity announcement. The information is used to monitor each awardee's progress, to provide oversight of the use of federal funds, to identify and disseminate awardee successes, to reduce duplication of effort, and to respond to inquires.
US Code: 42 USC 241 Name of Law: PHSA
   PL: Pub.L. 111 - 148 4002 Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  82 FR 44798 09/26/2017
83 FR 8277 02/26/2018
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 147 311 0 -164 0 0
Annual Time Burden (Hours) 588 1,596 0 -1,008 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Burden was reduced due to the cessation of funding for 44 previous awardees and the removal of the need for the initial population of the MIS database for continuing awardees.
$117,655
Yes Part B of Supporting Statement
    No
    No
Yes
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.
02/27/2018