OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Monitoring and Reporting System for the National Tobacco Control Program

ICR 201912-0920-010 · OMB 0920-1097 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1097 Annual Progress Report template for the National and State Tobacco Control Program Form and Instruction New Available
Form 0920-1097 Annual Component Model of Infrastructure for the National and State Tobacco Control Program Form and Instruction New Available
Form 0920-1097 Annual Performance Measures template for the National and State Tobacco Control Program Form and Instruction New Available
Form 0920-1097 Annual Budget template for the National Tobacco Control Program Form and Instruction New Available
Form 0920-1097 Annual Work Plan template for the National and State Tobacco Control Program Form and Instruction New Available
Annual Budget Progress Report Form Removed Available
Initial Population of Budget Tool Form Removed Available
Annual Work Plan Progress Report Form Removed Available
Initial Population of Work Plan Tool Form Removed Repair queued
1097 Att 2 Awardees Final.docx Supplementary Document Uploaded 2019-12-12 Available
1097 Att 1c CSTHEA Final.pdf Supplementary Document Uploaded 2019-12-12 Available
1097 Att 1b PL Final.pdf Supplementary Document Uploaded 2019-12-12 Repair queued
1097 Att 1a PHSA Final.pdf Supplementary Document Uploaded 2019-12-12 Available
1097 Att 3b Public Comments Final.docx Supplementary Document Uploaded 2019-12-12 Repair queued
1097 Att 3a_60 day FRN Published Final.pdf Supplementary Document Uploaded 2019-12-12 Available
1097 Privacy Narrative Final.pdf Supplementary Document Uploaded 2019-12-12 Repair queued
Att 3b. Summary of Public Comments.pdf Supplementary Document Uploaded 2015-08-10 Repair queued
Att 3a. FRN 6 05 2015.pdf Supplementary Document Uploaded 2015-08-10 Available
Att 2. Awardees.docx Supplementary Document Uploaded 2015-08-10 Available
1097 SSB FINAL.docx Supporting Statement B Uploaded 2020-02-04 Available
1097 SSA FINAL.docx Supporting Statement A Uploaded 2020-02-05 Available
Att 1c. CSTHEA.pdf Supplementary Document Uploaded 2015-08-10 Available
Att 1b. PL 98-474 07-15-2014.pdf Supplementary Document Uploaded 2015-08-10 Available
Att 1a. PHSA 07-15-2014.pdf Supplementary Document Uploaded 2015-08-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
238892 Annual Progress Report template for the National and State Tobacco Control Program Form and Instruction New
238891 Annual Component Model of Infrastructure for the National and State Tobacco Control Program Form and Instruction New
238890 Annual Performance Measures template for the National and State Tobacco Control Program Form and Instruction New
238889 Annual Budget template for the National Tobacco Control Program Form and Instruction New
238888 Annual Work Plan template for the National and State Tobacco Control Program Form and Instruction New
217815 Annual Budget Progress Report Form Removed
217814 Initial Population of Budget Tool Form Removed
217813 Annual Work Plan Progress Report Form Removed
217812 Initial Population of Work Plan Tool Form Removed
ICR Details
0920-1097 201912-0920-010
Active 201508-0920-002
HHS/CDC 15AME
Monitoring and Reporting System for the National Tobacco Control Program
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/10/2020
Retrieve Notice of Action (NOA) 02/05/2020
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved
265 0 0
1,961 0 0
0 0 0
CDC will collect work plan and budget information from State-based tobacco control programs. Information will be used to monitor progress toward achievement of program objectives, and to support program improvement.
US Code: 42 USC 247b (k)(2) Name of Law: Public Health Service Act
   PL: Pub.L. 98 - 474 1 Name of Law: Comprehensive Smoking Education Act
   US Code: 15 USC 4401 Name of Law: Comprehensive Smokeless Tobacco Health Education Act of 1986
  
None
Not associated with rulemaking
  84 FR 16868 04/23/2019
85 FR 3915 01/23/2020
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 265 0 0 141 -18 142
Annual Time Burden (Hours) 1,961 0 0 1,624 -108 445
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
CDC is requesting approval for 1,961 burden hours. This reinstatement with change request reflects an increase in burden by 1,516 hours due to the addition of three information collection tools.
$127,758
Yes Part B of Supporting Statement
    No
    No
Yes
No
No
Uncollected
Odion Clunis 770 488-0045 [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.
02/05/2020