"So What? Telling a Compelling Story" Template

Forms and Documents

Document Name	Status
SupSta_B_091213.doc Supporting Statement B	2013-09-23
Att F_IRBDeterminationForm.pdf Supplementary Document	2013-09-23
Att A_Sec 301 PHSA_(42USC241....pdf Supplementary Document	2013-09-23
Att E_WebTemplateDraft.pdf Supplementary Document	2013-09-23
SupSta_A_091213.doc Supporting Statement A	2013-09-23

IC Document Collections

IC ID	Document Title	Status
208785	"So What? Telling a Compelling Story" Follow-up Questions Other-Word	New
208784	SO WHAT? Telling a Compelling Story...Activity Template Other-Word	New

ICR Details

OMB Control No: 0920-0996	ICR Reference No: 201309-0920-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 20582
Title: "So What? Telling a Compelling Story" Template
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: 10/30/2013
	Date Received in OIRA: 09/24/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2016	36 Months From Approved
Responses	130	0	0
Time Burden (Hours)	95	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The storytelling template is a single page, double-sided guide for public health preparedness storytellers, or "sources", to provide a story "lead" including a headline and three bullet points for potential follow up at a later date. The intent of this worksheet is to guide the development of bullets and headlines describing successes, impacts, and other funding-related activities for public health preparedness and response.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health and Welfare
   US Code: 42 USC 241 Name of Law: Research and Investigations
  

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:
	78 FR 31940	05/28/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 57640	09/19/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
SO WHAT? Telling a Compelling Story...Activity Template
"So What? Telling a Compelling Story" Follow-up Questions

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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	130	0	0	130	0	0
Annual Time Burden (Hours)	95	0	0	95	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 collection request.

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Annual Cost to Federal Government: $0

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 09/24/2013

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