Preventive Health and Health Services Block Grant

ICR 200805-0920-004

OMB: 0920-0106

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-28
Supplementary Document
2008-04-29
Supporting Statement A
2008-04-28
ICR Details
0920-0106 200805-0920-004
Historical Active 200507-0920-005
HHS/CDC
Preventive Health and Health Services Block Grant
Revision of a currently approved collection   No
Regular
Approved without change 08/15/2008
Retrieve Notice of Action (NOA) 05/12/2008
  Inventory as of this Action Requested Previously Approved
08/31/2011 36 Months From Approved 10/31/2008
122 0 122
3,355 0 4,270
0 0 0

This request is a revision of an existing OMB approval for annual grant applications and annual progress reports for the Preventive Health and Health Services Block Grant.

PL: Pub.L. 102 - 531 101-104 Name of Law: Preventive Health and health Services Block Grant
   US Code: 42 USC 300w-300w-8 Name of Law: Preventive Health and Health Services Block Grants
   US Code: 45 USC 96.1-96.17 Name of Law: Block Grants
  
None

Not associated with rulemaking

  72 FR 41079 07/26/2007
73 FR 26118 05/08/2008
No

  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 122 122 0 0 0 0
Annual Time Burden (Hours) 3,355 4,270 0 -915 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Using Information Technology
An electronic information collection system (GARS) is currently in use, it is being replaced with a web-based Management Information System (BG-MIS) that will improve standardization of information and decrease burden to respondents.

$253,539
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Thelma Sims 4046394771

  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.
05/12/2008


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