OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Public Health Associate Program (PHAP) Assessment of Quality and Value

ICR 202010-0920-018 · OMB 0920-1078 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
PHAP Alumni Survey Form and Instruction Modified Repair queued
PHAP Host Site Supervisor Survey Form and Instruction Modified Repair queued
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment I_PHAP Host Site Supervisor Survey Second Reminder Email_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx Supplementary Document Uploaded 2020-12-01 Available
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment D_Published 60 day_11022020.pdf Supplementary Document Uploaded 2020-12-01 Repair queued
Attachment A_Public Health Service Act_FINAL.docx Supplementary Document Uploaded 2020-12-01 Repair queued
PHAP ICR- Statement B Extension-FINAL.docx Supporting Statement B Uploaded 2020-12-01 Repair queued
PHAP ICR- Statement A Extension_11052020.docx Supporting Statement A Uploaded 2020-12-01 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
229893 PHAP Alumni Survey Form and Instruction Modified
229891 PHAP Host Site Supervisor Survey Form and Instruction Modified
ICR Details
0920-1078 202010-0920-018
Received in OIRA 201801-0920-003
HHS/CDC 0920-1078
Public Health Associate Program (PHAP) Assessment of Quality and Value
Extension without change of a currently approved collection   No
Regular 12/02/2020
  Requested Previously Approved
36 Months From Approved 03/31/2021
1,000 1,000
213 213
7,474 0
This information collection request (ICR) is to gain three-year approval to follow alumni career progression following participation in the Public Health Associate Program (PHAP). The subpopulations to be studied are the PHAP Host Site Supervisors and PHAP Alumni. Information will be collected through online surveys. Findings will be used to assess the quality and value of the PHAP.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  85 FR 45434 07/28/2020
85 FR 77215 12/01/2020
No
2
IC Title Form No. Form Name
PHAP Alumni Survey n/a PHAP Alumni Assessment
PHAP Host Site Supervisor Survey n/a PHAP Host Site Supervisor Survey
  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 213 213 0 0 0 0
Annual Cost Burden (Dollars) 7,474 0 0 7,474 0 0
No
No
$7,839
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Renita Macaluso 770 488-6458 [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.
12/02/2020