Academic Centers of Excellence on Youth Violence Prevention Program Information System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 12_ScreenShots_ACE.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 11 ACE IS WG Representatives.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 9_Guidance Letter302.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 8 PHSASEC301391.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 7B_2590_forms.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 7A_398_forms.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 6_Logicmodelandindicators.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 5 Exec Summary_Management Report.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 4_CDC-RFA-CE06-602.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 3_06008_UPACEYV.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attachment 2_050181.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Attach 1B_Senate Appropriations Committee Report 106.doc	Supplementary Document	Uploaded 2007-10-22	Available
Attach 1A_Congressional Record_Senate.pdf	Supplementary Document	Uploaded 2007-10-22	Available
Revised Supp Stm 10 10t_ACE IS_0920_07AV. final.doc	Supporting Statement A	Uploaded 2007-10-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182819	Academic Centers of Excellence on Youth Violence Prevention Program Information System - Clerical/Program Managers	Other-information system	New
182818	Academic Centers of Excellence on Youth Violence Prevention Program Information System - Principal Investigators	Other-information system	New

ICR Details

OMB Control No: 0920-0767	ICR Reference No: 200711-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Academic Centers of Excellence on Youth Violence Prevention Program 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 without change	Conclusion Date: 03/05/2008
	Date Received in OIRA: 11/21/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved
Responses	44	0	0
Time Burden (Hours)	161	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Academic Centers of Excellence on Youth Violence Prevention Program Information System will collect, in electronic format: (a) Data needed to measure program toward, or achievement of, performance indicators and other outcomes and (b) information on Academic Centers of Excellence on Youth Violence Prevention that is currently in various electronic and paper documents. An internet-based information system will allow CDC monitor, and report on, ACE activities more efficiently. Data reported to CDC through the ACE information system will be used by CDC to identify training and technical assistance needs, monitor compliance agreement requirements, evaluate the progress made in achieving center-specific goals, and obtain information needed to respond to Congressional and other inquiries regarding program activities and effectiveness.

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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:
	72 FR 18262	04/11/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 61652	10/31/2007
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Academic Centers of Excellence on Youth Violence Prevention Program Information System - Principal Investigators
Academic Centers of Excellence on Youth Violence Prevention Program Information System - Clerical/Program Managers

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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	44	0	0	44	0	0
Annual Time Burden (Hours)	161	0	0	161	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: This is a new information collection.

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Annual Cost to Federal Government: $128,000

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: 11/21/2007

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