CDC Oral Health Management Information System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CDC Oral Health Management Information System - MIS Data Collection Instrument	Form and Instruction	New	Available
30 Day FRN 0920-05CI.pdf	Supplementary Document	Uploaded 0000-00-00	Available
0920-05CI Supporting Statement 1-31-2007.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178975	CDC Oral Health Management Information System - MIS Data Collection Instrument	Form and Instruction	New

ICR Details

OMB Control No: 0920-0739	ICR Reference No: 200703-0920-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: CDC Oral Health Management Information System
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 with change	Conclusion Date: 06/11/2007
	Date Received in OIRA: 03/08/2007
Terms of Clearance: OMB approves this collection consistent with the e-mail from CDC on 6/7/07.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved
Responses	26	0	0
Time Burden (Hours)	234	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The CDC seeks to improve the oral health of the nation by targeting efforts to improve the infrastructure of state and territorial oral health departments; strengthen and enhance program capacity related to monitoring the population's oral health status and behaviors; develop effective programs to improve the oral health of children and adults; evaluate program accomplishments; and inform key stakeholders, including policy makers, of program results. CDC requests the submission of semi-annual status reports from each funded program. The proposed information collection will be used to identify training and technical assistance needs; monitor compliance with cooperative agreement requirements; evaluate the progress made in achieving national and program-specific goals; and respond to inquiries regarding program activities and effectiveness.

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Authorizing Statute(s): US Code: 42 USC 241(a) Name of Law: Research and Investigation in General
   US Code: 42 USC 247(b)(k)(2) Name of Law: null
  

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:
	71 FR 38647	07/07/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 6246	02/09/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
CDC Oral Health Management Information System - MIS Data Collection Instrument	None	0920-05CI Attachment 5 - Proposed MIS Data Collection Instrument 1-31-2007

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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	26	0	0	26	0	0
Annual Time Burden (Hours)	234	0	0	234	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: The CDC Division of Oral Health (DOH) proposes a change in data collection methodology by the development of an automated management information system (MIS) to maintain individual information and to normalize the information reported by programs supported by CDC DOH Cooperative Agreement # 3022.

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Annual Cost to Federal Government: $408,670

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]? 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: 03/08/2007

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