Improving the Quality and Delivery of CDC's Heart Disease and Stroke Prevention Programs

Forms and Documents

Document Name	Status
Form no number Web-based Surveys Form	New
Supporting Statement B - 5.11.09.doc Supporting Statement B	2009-05-21
Attachment 3-Question Bank.doc Supplementary Document	2009-05-22
Attachment 10-Data Collection Request Form.doc Supplementary Document	2009-05-22
Attachment 5- Example Solicitation Email.doc Supplementary Document	2009-05-22
Attachment 11-Annual Report to OMB Template.xls Supplementary Document	2009-05-22
Attachment 9-Generic Clearance User Guide.doc Supplementary Document	2009-05-22
Attachment 4-DHDSP Evaluation Plan.pdf Supplementary Document	2009-05-22
Attachment 2B-Summary of Public Comments.doc Supplementary Document	2009-05-22
Attachment 2A-Federal Register Notice.pdf Supplementary Document	2009-05-22
Attachment 1-Authorizing Legislation.doc Supplementary Document	2009-05-22
Supporting Statement A - 5.11.09.doc Supporting Statement A	2009-05-21

IC Document Collections

IC ID	Document Title	Status
189505	Focus Groups Other-Focus Group Guide	New
189504	Interviews Other-Example Telephone Script	New
189503	Web-based Surveys Form	New

ICR Details

OMB Control No: 0920-0864	ICR Reference No: 200906-0920-003
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Improving the Quality and Delivery of CDC's Heart Disease and Stroke Prevention Programs
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 11/16/2009
	Date Received in OIRA: 06/11/2009
Terms of Clearance: Withdrawn consistent with memo from CDC received on 11/16/2009. OMB will work with CDC to revise and resubmit the package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's Division of Heart Disease and Stroke Prevention (DHDSP)proposes to collect information from key partners in state and local health departments, the private sector, and academic institutions in order to evaluate the relevance, quality and impact of DHDSP services and programs, and to improve services and programs. A generic clearance is requested in order to provide flexibility.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	73 FR 75721	12/12/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 23864	05/21/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Interviews
Web-based Surveys	no number	Example Web-Based Survey
Focus Groups

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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 request for a new generic data collection.

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Annual Cost to Federal Government: $133,257

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 06/11/2009

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