Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information System)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 2. 60day Notice.pdf	Supplementary Document	Uploaded 2008-01-16	Available
Attachment 1. Authorizing Legislation.doc	Supplementary Document	Uploaded 2008-01-16	Available
Attachment 4. Usability Test Participants.doc	Supplementary Document	Uploaded 2008-01-16	Available
Attachment 5. Usability Results.doc	Supplementary Document	Uploaded 2008-01-16	Available
Attachment 4. Usability Test Participants.doc	Supplementary Document	Uploaded 2008-01-16	Available
Attachment 5. Usability Results.doc	Supplementary Document	Uploaded 2008-01-16	Available
0679 SS 011608.doc	Supporting Statement A	Uploaded 2008-01-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7147	Heart Disease and Stroke Prevention Programs	Other-WORD	Modified
183886	WISEWOMAN Programs	Other-WORD	New

ICR Details

OMB Control No: 0920-0679	ICR Reference No: 200802-0920-011
Status: Historical Active	Previous ICR Reference No: 200412-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information System)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/23/2008
	Date Received in OIRA: 02/25/2008
Terms of Clearance: Approved consistent with the prior terms of clearance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	36 Months From Approved	05/31/2008
Responses	98	0	132
Time Burden (Hours)	588	0	396
Cost Burden (Dollars)	0	0	0

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Abstract: This revision request is to support semi-annual collection of progress report information from recipients of Heart Disease and Stroke Prevention Program funding, and WISEWOMAN funding. Programs are funded by CDC's Division for Heart Disease and Stroke Prevention to design, implement, and evaluate public health prevention and control strategies to reduce disease, disability and death related to heart disease, stroke, and other behavior risk factors for chronic diseases. Information is collected via an electronic Management Information System.

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Authorizing Statute(s): PL: Pub.L. 101 - 354 300k Name of Law: The Beast and Cervical Cancer Mortality Prevention Act of 1990
  

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 46085	08/16/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 17	01/25/2008
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
WISEWOMAN Programs
Heart Disease and Stroke Prevention Programs

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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	98	132	0	-34	0	0
Annual Time Burden (Hours)	588	396	0	192	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: The current OMB approval is scheduled to expire May 31, 2008. The request for revision is based on the following changes: 1) name change; 2) recent integration of another program into MIS; 3) increase in respondents; 4) revision to data collection instrument; and 5) increase in estibmated burden hours and costs.

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Annual Cost to Federal Government: $332,600

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: 02/25/2008

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