OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

ICR 202007-0920-013 · OMB 0920-1322 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Phone script -non-responders Form New Missing upstream
Follow-up Survey Form New Available
Post-TA evaluation Form New Repair queued
Post-training evaluation Form New Missing upstream
Learning group registration Form New Repair queued
Att 16_Security Controls.docx Supplementary Document Uploaded 2020-07-21 Repair queued
Att 14_Training and TA Follow-up Survey-Reminder Email.docx Supplementary Document Uploaded 2020-07-21 Repair queued
Att 11_Training and TA Follow-up Survey Introductory Email Introductory Email.docx Supplementary Document Uploaded 2020-07-21 Repair queued
Att 8_Post-Technical Assistance Evaluation Introductory Email.docx Supplementary Document Uploaded 2020-07-21 Repair queued
Att 5_Post-Training Evaluation Introductory Email.docx Supplementary Document Uploaded 2020-07-21 Repair queued
Att 2_60-Day FRN.pdf Supplementary Document Uploaded 2020-07-20 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2020-07-20 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2020-07-20 Missing upstream
Supporting Statement A.docx Supporting Statement A Uploaded 2020-07-20 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
242741 Phone script -non-responders Form New
242740 Follow-up Survey Form New
242739 Post-TA evaluation Form New
242738 Post-training evaluation Form New
242737 Learning group registration Form New
ICR Details
202007-0920-013
Received in OIRA
HHS/CDC 0920-20EU
Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation
New collection (Request for a new OMB Control Number)   No
Regular 08/03/2020
  Requested Previously Approved
36 Months From Approved
19,078 0
1,671 0
39,526 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 and health departments). This assessment information will be used to improve program processes and operations.
US Code: 42 USC 792 Name of Law: PHSA
  
None
Not associated with rulemaking
  85 FR 4988 01/28/2020
85 FR 46631 08/03/2020
No
  Total Request 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 19,078 0 0 19,078 0 0
Annual Time Burden (Hours) 1,671 0 0 1,671 0 0
Annual Cost Burden (Dollars) 39,526 0 0 39,526 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$844,155
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
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.
08/03/2020