Performance Progress and Monitoring Report

Forms and Documents

Document Name	Status
Performance Progress and Monitoring Report - Attachment G Form and Instruction	New
Performance Progress and Monitoring Report - Attachment A-F Form and Instruction	Modified
Change Request 0920-1132_31JAN2017_FINAL.docx Justification for No Material/Nonsubstantive Change	2017-01-31
Supporting Statement A PPMR 31JAN2017_FINAL.docx Supporting Statement A	2017-01-31
Non-research determination.docx Supplementary Document	2016-05-20
60 Day FRN 05NOV2015.pdf Supplementary Document	2016-05-20
Att. 2-Legislative Authority.pdf Supplementary Document	2016-05-20
Att. 1-Legislative Authority.pdf Supplementary Document	2016-05-20
Supporting Statement B PPMR 08AUG2016 FINAL.docx Supporting Statement B	2016-08-08

IC Document Collections

IC ID	Document Title	Status
225478	Performance Progress and Monitoring Report - Attachment G Form and Instruction	New
221557	Performance Progress and Monitoring Report - Attachment A-F Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1132	ICR Reference No: 201701-0920-011
Status: Historical Active	Previous ICR Reference No: 201605-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1132-17
Title: Performance Progress and Monitoring Report
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: Approved without change	Conclusion Date: 02/01/2017
	Date Received in OIRA: 01/31/2017
Terms of Clearance: Previous terms continue: Approved consistent with the understanding that information collected are intended to monitor for program progress toward project goals and objectives, to identify facilitators and challenges to program implementation, and report on program strategies and short term outcomes. Outcomes of this information collection are not intended to demonstrate overall impact of the CDC-funded projects.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	08/31/2019	08/31/2019
Responses	4,832	0	3,200
Time Burden (Hours)	6,536	0	6,400
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention (CDC) seeks OMB approval for a Non-Substantive Change Request to add a form (Attachment G - PERFORMANCE PROGRESS and MONITORING REPORT – OFR Risk Questionnaire) to 0920-1132 (PPMR). - Addition of this form will allow CDC to collect data for internal use that will aid in the assessment of an applicant’s risk level using a standard, objectively-applied scoring rubric. This will also help CDC to gain a better understanding of its grant applicants, so that it can better serve those who receive awards. No significant change in Burden Hours is expected to result from addition of this form.

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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:
	80 FR 68540	11/05/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 30307	05/16/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Performance Progress and Monitoring Report - Attachment A-F	NA, NA, NA, NA, NA, NA, NA, NA	Performance Progress and Monitoring Report (PPMR) Instrument - Main ,   PPMR Instrument - Continuation Page ,   PPMR Instrument - Attachment A ,   PPMR Instrument - Attachment B ,   PPMR Instrument - Attachment C ,   PPMR Instrument - Attachment D ,   PPMR Instrument - Attachment E ,   PPMR Instrument - Attachment F
Performance Progress and Monitoring Report - Attachment G	NA	OFR Risk Questionnaire

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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	4,832	3,200	0	1,632	0	0
Annual Time Burden (Hours)	6,536	6,400	0	136	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: Non-Substantive Change includes addition of an additional form (OFR Risk Questionnaire - Attachment G) which adds 136 Burden Hours to approved collection.

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Annual Cost to Federal Government: $830,916

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]? 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: 01/31/2017

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