Preventive Health and Health Services Block Grant

ICR 201605-0920-015

OMB: 0920-0106

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2016-05-27
Supporting Statement A
2016-05-27
Supplementary Document
2016-05-23
Supplementary Document
2016-05-23
Supplementary Document
2016-05-23
Supplementary Document
2016-05-23
Supplementary Document
2016-05-23
Supplementary Document
2016-05-23
IC Document Collections
IC ID
Document
Title
Status
6636 Modified
184866 Modified
ICR Details
0920-0106 201605-0920-015
Historical Active 201307-0920-005
HHS/CDC 19896
Preventive Health and Health Services Block Grant
Revision of a currently approved collection   No
Regular
Approved without change 07/25/2016
Retrieve Notice of Action (NOA) 05/27/2016
  Inventory as of this Action Requested Previously Approved
07/31/2019 36 Months From Approved 08/31/2016
122 0 122
2,135 0 2,135
0 0 0

CDC currently provides Block Grant funding to 61 states, territories and tribal organizations, and collections Work Plans and Annual Reports to monitor their progress toward meeting Healthy People objectives, and to provide technical assistance. CDC requests OMB approval to continue information collection for two years. Information will be collected using a web-based MIS.

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
   PL: Pub.L. 102 - 531 101-104 Name of Law: Preventive Health and health Services Block Grant
  
None

Not associated with rulemaking

  81 FR 6274 02/05/2016
81 FR 32757 05/24/2016
No

2
IC Title Form No. Form Name
Att 4A_Work Plan Instrument
Att 5A_Annual Report Instrument

  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) 2,135 2,135 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$169,099
Yes Part B of Supporting Statement
Yes
No
No
No
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.
05/27/2016


© 2024 OMB.report | Privacy Policy