Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"

Forms and Documents

Document Name	Status
Form No number State Program Interim Reporting System (SPIRS) Form	Modified
0920-0669_Change_Overview_5-14-09.doc Justification for No Material/Nonsubstantive Change	2009-05-20
Attachment 2 Table of Data Revisions 05-01-09.doc Supplementary Document	2009-05-20
Attachment 2 Table of Data Revisions 05-01-09.doc Supplementary Document	2009-05-21
Attachment 1 Revised Survey 05-01-09.pdf Supplementary Document	2009-05-20

IC Document Collections

IC ID	Document Title	Status
7137	State Program Interim Reporting System (SPIRS) Form	Modified

ICR Details

OMB Control No: 0920-0669	ICR Reference No: 200906-0920-002
Status: Historical Inactive	Previous ICR Reference No: 200805-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 06/12/2009
	Date Received in OIRA: 06/08/2009
Terms of Clearance: Submission includes changes to both burden and data elements. Should be resubmitted to OMB as a "substantive" change request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	06/30/2011	06/30/2011
Responses	56	0	56
Time Burden (Hours)	672	0	672
Cost Burden (Dollars)	0	0	0

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Abstract: This program evaluation will collect data to monitor the processes and outcomes of the activities performed in the program "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases." The program was established to prevent and control obesity by supporting States in the development and implementation of nutrition and physical activity interventions, particularly through population-based strategies such as policy-level changes, environmental supports and the social marketing process.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

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 71415	12/17/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 14254	03/17/2008
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
State Program Interim Reporting System (SPIRS)	No number	Progress Monitoring Report

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Resulting from a reissuance of the cooperative agreement, there is a slight decrease in the number of respondents and the overall burden. There are minor modifications to the data collection instrument, and a change in the title.

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Annual Cost to Federal Government: $220,252

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)? No

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: 06/08/2009

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