DataCollection for the Identification ofComparisonGroups for the National Com. Ctrs of Excellencein Women's Health (CCOE) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CCOE Memo.doc	Supplementary Document	Uploaded 2007-06-11	Repair queued
National Evaluation Round II.doc	Supporting Statement B	Uploaded 2006-12-20	Available
Supportingst0990-0271-Round_II_OWH_CCOE.doc	Supporting Statement A	Uploaded 2006-12-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46717	CCOE Site Visit	Other-Other	New
46716	CCOE Client Survey	Other-Other	New
46715	CCOE Community Partner Survey	Other-Other	New
10403	CCOE Center Director and Program Coordinator Survey	Other-Other	Modified

ICR Details

OMB Control No: 0990-0271	ICR Reference No: 200701-0990-004
Status: Historical Active	Previous ICR Reference No: 200306-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: DataCollection for the Identification ofComparisonGroups for the National Com. Ctrs of Excellencein Women's Health (CCOE) Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/11/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance: Approved consistent with revisions to the survey methodology outlined in HHS memo to OMB.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved
Responses	5,824	0	0
Time Burden (Hours)	1,594	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Office on Women's Health Care (OWH) is seeking an extension of a currently approved collection to conduct a Women's Health Comparison Study Participant Survey and a National Community Centers of Excellence in Women's Health (CCOE) Comparison Study Leadership Survey.

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Authorizing Statute(s): None

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:
	70 FR 52102	09/01/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 71309	11/28/2005
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
CCOE Community Partner Survey
CCOE Client Survey
CCOE Site Visit
CCOE Center Director and Program Coordinator Survey

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ICR Summary of Burden

table that charts list 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	5,824	0	0	-386	6,210	0
Annual Time Burden (Hours)	1,594	0	0	-117	1,711	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: There no changes in the burden. This is a revision of a previously approved OMB project. This revised project includes two new CCOEs that will participate in the data collection efforts. Similar to the Round I, the two new CCOEs will provide information concerning their growth and attainment towards OWH goals and objectives.

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Annual Cost to Federal Government: $220,898

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)? Uncollected

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: 12/20/2006

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