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Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Reporting of the Rape Prevention and Education (RPE) Program: CE19-1902 Cooperative Agreement

ICR 201908-0920-011 · OMB 0920-1286 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-XXXX Annual Reporting Data Elements for RPE (Subsequent Reporting) Form and Instruction New Repair queued
Form 0920-XXXX Annual Reporting Data Elements for RPE Form and Instruction New Repair queued
Att_7_Human_Subject_Determination_Form.pdf Supplementary Document Uploaded 2019-08-29 Available
Att_6_PIA Partners Portal.pdf Supplementary Document Uploaded 2019-08-29 Available
Att_5_60-Day_FRN.pdf Supplementary Document Uploaded 2019-08-29 Available
Att_4_Crosswalk_of_RPE_Program_Evaluation_Questions_and_Indicators.docx Supplementary Document Uploaded 2019-08-29 Repair queued
Att_2_List_of_RPE-funded_Recipients.docx Supplementary Document Uploaded 2019-08-29 Repair queued
Att_1b_PHSA_393a_USC_280b-a.pdf Supplementary Document Uploaded 2019-08-29 Repair queued
Att_1a_PHSA_301a_USC_241a.pdf Supplementary Document Uploaded 2019-08-29 Repair queued
SSB_1902_RPE_Partners_Portal_080619.docx Supporting Statement B Uploaded 2019-08-29 Repair queued
SSA_RPE Program_082919.docx Supporting Statement A Uploaded 2019-08-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
237592 Annual Reporting Data Elements for RPE (Subsequent Reporting) Form and Instruction New
237591 Annual Reporting Data Elements for RPE Form and Instruction New
ICR Details
0920-1286 201908-0920-011
Historical Active
HHS/CDC 0920-19AXA
Annual Reporting of the Rape Prevention and Education (RPE) Program: CE19-1902 Cooperative Agreement
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/03/2020
Retrieve Notice of Action (NOA) 11/07/2019
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved
165 0 0
440 0 0
0 0 0
To collect information related to implementation and outcomes annually from recipients of the new funding opportunity CDC-RFA-CE19-1902: Rape Prevention and Education (RPE): Using The Best Available Evidence for Sexual Violence Prevention cooperative agreement. Information will be collected to provide crucial information for performance monitoring and program evaluation of the implementation of prevention strategies and approaches, outcomes, and budget of the cooperative agreement.Information to be collected will be used to inform technical assistance, program improvement, capacity building, and RPE Program’s impacts on SV outcomes over time. Implementation and outcomes information to be collected will be used to inform technical assistance, program improvement, capacity building, and RPE Program’s impacts on SV outcomes over time.
None
US Code: 42 USC 241a Name of Law: Public Health Service Act
US Code: 42 USC 280b-a Name of Law: Public Health Service Act
Not associated with rulemaking
  84 FR 26116 06/05/2019
84 FR 52110 10/01/2019
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 165 0 0 165 0 0
Annual Time Burden (Hours) 440 0 0 440 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a NEW collection request for a new OMB Control Number.
$167,006
Yes Part B of Supporting Statement
    No
    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.
11/07/2019