Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form No number Progress Monitoring Report for Evaluation of State Nutrition and Physical Activity Programs	Form	Modified	Available
Attachment B 60-day FRN 12.17.07.pdf	Supplementary Document	Uploaded 2008-03-20	Available
Attachment A Authorizing Legislation.doc	Supplementary Document	Uploaded 2008-03-20	Available
Attachment C2 Table of PMR Revisions.r3.doc	Supplementary Document	Uploaded 2008-03-20	Available
Attachment D Evaluation Plan.doc	Supplementary Document	Uploaded 2008-03-20	Available
Attachment C2 Table of PMR Revisions.r3.doc	Supplementary Document	Uploaded 2008-03-20	Available
Attachment D Evaluation Plan.doc	Supplementary Document	Uploaded 2008-03-20	Available
0920-0669 SS 03.20.08.doc	Supporting Statement A	Uploaded 2008-03-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7137	Progress Monitoring Report for Evaluation of State Nutrition and Physical Activity Programs	Form	Modified

ICR Details

OMB Control No: 0920-0669	ICR Reference No: 200805-0920-001
Status: Historical Active	Previous ICR Reference No: 200410-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases"
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 without change	Conclusion Date: 06/12/2008
	Date Received in OIRA: 05/02/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved
Responses	56	0	0
Time Burden (Hours)	672	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This program evaluation will collect data to monitor the processes and outcomes of the activities performed in the program "State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases." The program was established to prevent and control obesity by supporting States in the development and implementation of nutrition and physical activity interventions, particularly through population-based strategies such as policy-level changes, environmental supports and the social marketing process.

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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 71415	12/17/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 14254	03/17/2008
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
Progress Monitoring Report for Evaluation of State Nutrition and Physical Activity Programs	No number	Progress Monitoring Report

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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	56	0	0	56	0	0
Annual Time Burden (Hours)	672	0	0	672	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 number of respondents increased however the burden estimate remains unchanged. Changes have been made to the data collection instrument in order to streamline and clarify.

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Annual Cost to Federal Government: $220,252

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: 04/23/2008

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