CDC Diabetes Prevention Recognition Program (DPRP)

Forms and Documents

Document Name	Status
Form 0920-0909 Evaluation data for private-sector organizations Form and Instruction	Modified
Form 0920-0909 Evaluation data for public-sector organizations Form and Instruction	Modified
Form 0920-0909 Application data for private-sector organizations Form and Instruction	Modified
Form 0920-0909 Application data for public-sector organizations Form and Instruction	Modified
SS Part A (DPRP)_FINAL to ICRO_11-30-20 final.docx Supporting Statement A	2021-01-25
Att 6 0920-0909 - Diabetes Prevention Recognition Program - DPRP STARS form.docx Supplementary Document	2021-01-25
Att 5- Table of changes from OMB No. 0920-0909_ 2021_11-30-20_FINAL.docx Supplementary Document	2021-01-25
Att 3- 2021 DPRP Standards_FINAL to ICRO_01-25-21.pdf Supplementary Document	2021-01-25
SS Part B (DPRP)_11-30-20_FINAL.docx Supporting Statement B	2021-01-25
Att 2C- Comments in Response to FRN_0920-0909_11-30-20.docx Supplementary Document	2021-01-25
Att 2A 2021 DPRP Standards 60 Day FRN Notice_2020-12810_11-30-20.pdf Supplementary Document	2021-01-25
Att 1 Authorizing Legislation PHSA_11-30-20.pdf Supplementary Document	2021-01-25

IC Document Collections

IC ID	Document Title	Status
199192	Evaluation data for private-sector organizations Form and Instruction	Modified
199191	Evaluation data for public-sector organizations Form and Instruction	Modified
199190	Application data for private-sector organizations Form and Instruction	Modified
199189	Application data for public-sector organizations Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0909	ICR Reference No: 202101-0920-014
Status: Received in OIRA	Previous ICR Reference No: 201711-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0909
Title: CDC Diabetes Prevention Recognition Program (DPRP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/29/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2021
Responses	4,500	4,088
Time Burden (Hours)	8,700	7,676
Cost Burden (Dollars)	0	0

---

Abstract: CDC's Division of Diabetes Translation's (DDT) National Diabetes Prevention Program Diabetes Prevention Recognition Program (DPRP) Revision of the DPRP Standards and Operating Procedures. Research studies have shown that a structured lifestyle intervention leading to modest weight loss and increased physical activity can prevent or delay type 2 diabetes. To this end, DDT established and administers the DPRP. Organizations participate on a voluntary basis. There are a few revisions that are being requested, and they are listed in the SSA and a stand alone document.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   US Code: 42 USC 1302, 1395hh Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AT02	Final or interim final rulemaking	82 FR 52976	11/15/2017

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 36214	06/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 7386	01/28/2021
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Application data for public-sector organizations	0920-0909	DPRP Application Form
Application data for private-sector organizations	0920-0909	DPRP Application Form
Evaluation data for public-sector organizations	0920-0909	Evaluation Data Form
Evaluation data for private-sector organizations	0920-0909	Evaluation Data Form

---

ICR Summary of Burden

	Total Request	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	4,500	4,088	0	412	0	0
Annual Time Burden (Hours)	8,700	7,676	0	1,024	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden differences due to additional respondents that will be added each year.

---

Annual Cost to Federal Government: $2,787,740

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

---

Common Form ICR:  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:

(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: 01/29/2021

---