Information Collection Request

Capacity Building Assistance Program: Assessment and Quality Control

ICR 201902-0920-009 · OMB 0920-1099 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Technical Assistance (TA) Satisfaction Instrument Form Modified Available
Training Follow-Up Instrument (TFI) Form Modified Available
Health Professional Application for Training (HPAT) Form Modified Available
Att 16_Security Controls.docx Supplementary Document Uploaded 2019-02-13 Available
Att 15_Privacy Impact Assessment approved (12-10-2018).pdf Supplementary Document Uploaded 2019-02-13 Available
Att 12_TA Satisfaction Follow-up Reminder Email.docx Supplementary Document Uploaded 2019-02-13 Available
Att 11_Training Follow-up Reminder Email.docx Supplementary Document Uploaded 2019-02-13 Available
Att 10_TA Satisfaction Follow-up Instrument Email.docx Supplementary Document Uploaded 2019-02-13 Available
Att 9_Training Instrument Email.docx Supplementary Document Uploaded 2019-02-13 Available
Att 2_60-Day FRN.pdf Supplementary Document Uploaded 2019-02-13 Available
Att 1_Authorizing Legislation.docx Supplementary Document Uploaded 2019-02-13 Available
Supporting Statement B.docx Supporting Statement B Uploaded 2019-02-13 Available
Supporting StatementA.docx Supporting Statement A Uploaded 2019-02-13 Available
IC Document Collections
ICR Details
0920-1099 201902-0920-009
Historical Active 201611-0920-004
HHS/CDC 0920-1099
Capacity Building Assistance Program: Assessment and Quality Control
Revision of a currently approved collection   No
Regular
Approved without change 04/09/2019
Retrieve Notice of Action (NOA) 03/05/2019
OMB is approving this information collection request for a period of 12 months during which time CDC will request approval to extend or revise the collection if CDC seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
04/30/2020 12 Months From Approved 04/30/2019
44,400 0 44,440
8,633 0 8,643
0 0 0

The purpose of this information collection is to assess how well the Capacity Building Branch's Capacity Building Assistance (CBA) program meets the needs of its consumers in order to enhance its capacity building strategy over time. The information will be collected from recipients of CBA services (health professionals at CBOs, health departments, and healthcare organizations). This assessment information will be used to improve program processes and operations. This revision removes the qualitative interview thereby reducing the burden. This revision requests one year of clearance.

US Code: 42 USC 792 Name of Law: Research and Investigations
  
None

Not associated with rulemaking

  83 FR 4524 09/06/2018
84 FR 7372 03/04/2019
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 44,400 44,440 0 -40 0 0
Annual Time Burden (Hours) 8,633 8,643 0 -10 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The qualitative interview has been removed for this revision, reducing the burden by 10 hours. One year of approval is requested.

$726,734
Yes Part B of Supporting Statement
    Yes
    Yes
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.
03/04/2019