OMB approves
this information collection request under the following Terms: CDC
will incorporate the forms approved under this clearance into the
PEMS system. When CDC submits the information request for the PEMS
system to OMB OMB expects the Agency to request appropriate burden
hours for the phase in of electronic versions of the forms and
provide screen shots of the updated forms.
Inventory as of this Action
Requested
Previously Approved
04/30/2006
04/30/2006
11/30/2004
195
0
1,040
196
0
1,248
0
0
0
This data collection consists of 3
forms: the PCRS reporting form provides the necessary mechanism for
reporting aggregate HIV prevention program data and 2 budget forms
which grantees use to inform CDC how federal funds are
allocated.
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.