Racial and Ethnic Approaches to Community Health across the US Management Information System

Forms and Documents

Document Name	Status
Form no number Racial and Ethnic Approaches to Community Health across the US Management Information System Form and Instruction	New
Attachment 3_Design Document.doc Supplementary Document	2007-12-05
Attachment 2_42USC247b.doc Supplementary Document	2007-12-05
Attachment 1_42USC241.doc Supplementary Document	2007-12-05
Attachment 4b_Public Comment.doc Supplementary Document	2007-12-05
REACH MIS supporting statement 11.29.07.rtf Supporting Statement A	2007-12-05

IC Document Collections

IC ID	Document Title	Status
183192	Racial and Ethnic Approaches to Community Health across the US Management Information System Form and Instruction	New

ICR Details

OMB Control No: 0920-0778	ICR Reference No: 200712-0920-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Racial and Ethnic Approaches to Community Health across the US Management Information System
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/23/2008
	Date Received in OIRA: 12/20/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	36 Months From Approved
Responses	80	0	0
Time Burden (Hours)	120	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The REACH Management Information System is a customized internet-based support system that will allow the Racial and Ethnic Approaches to Community Health across the US (REACH US) program grantees to perform remote data entry and retrieval on the grantees' evaluation activities. This support system is designed to create reports of grantees' actions and accomplishments. The system may be used to meet their cooperative agreement reporting requirement. For the purposes of this statement, the grantees are considered the respondents.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act. Research and Investigation
   US Code: 42 USC 247b Name of Law: Public Health Service Project Grants for Preventive Health Services
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 8738	02/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 69691	12/10/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Racial and Ethnic Approaches to Community Health across the US Management Information System	no number	REACH US Management Information System Design Document

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ICR Summary of Burden

	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	80	0	0	80	0	0
Annual Time Burden (Hours)	120	0	0	120	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $105,700

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/20/2007

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