Centers for Public Health Preparedness Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CPHP Customer/Partner Follow-up Interview Instrument	Form	New	Available
CPHP Customer/Partner Survey Instrument	Form	New	Available
CPHP Interview Instrument	Form	New	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2009-10-01	Available
Attachment B_60 Day FRN CPHP Eval_16Jan09_vol74_no.11.pdf	Supplementary Document	Uploaded 2009-07-13	Available
Attachment A_PHSA Title 42_sec238j_Evaluation of Programs.pdf	Supplementary Document	Uploaded 2009-07-13	Available
Attachment H_Telephone follow-up.doc	Supplementary Document	Uploaded 2009-07-13	Available
Attachment G_E-mail follow-up.doc	Supplementary Document	Uploaded 2009-07-13	Available
Attachment F_Telephone initial contact.doc	Supplementary Document	Uploaded 2009-07-13	Available
CPHP_Eval_Supporting_Statement_CDCFinal.doc	Supporting Statement A	Uploaded 2009-07-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190131	CPHP Customer/Partner Follow-up Interview Instrument	Form	New
190130	CPHP Customer/Partner Survey Instrument	Form	New
190129	CPHP Interview Instrument	Form	New

ICR Details

OMB Control No: 0920-0826	ICR Reference No: 200907-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Centers for Public Health Preparedness Program Evaluation
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: 10/13/2009
	Date Received in OIRA: 07/30/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	12 Months From Approved
Responses	272	0	0
Time Burden (Hours)	194	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Public Health Preparedness Program was initiated to strengthen terrorism and emergency preparedness by linking academic expertise to state and local health agency needs. This program brings together 27 accredited Schools of Public Health to commonly focus on the establishment of a national network of education and training resources to address public health preparedness. This evaluation will document effectiveness and impact of the program. Data will be collected from existing program products and reports, and perceptual data from awardees, key partners, and customers. Data will be analyzed to determine key outcomes of the program and to provide recommendations for future work.

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Authorizing Statute(s): US Code: 42 USC 238j Name of Law: Public Health and Welfare Evaluation of Programs
  

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:
	74 FR 3047	01/16/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 32936	07/09/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
CPHP Interview Instrument	none	CPHP Interview Instrument
CPHP Customer/Partner Survey Instrument	none	Customer/Partner Survey Instrument
CPHP Customer/Partner Follow-up Interview Instrument	none	Customer/Partner Follow-up Survery Instrument

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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	272	0	0	272	0	0
Annual Time Burden (Hours)	194	0	0	194	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 data collection.

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Annual Cost to Federal Government: $183,668

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? Yes

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)? No

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: 07/30/2009

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