Evaluate the Advancing Systems Improvements to Support Targets for Healthy People 2010 (ASIST2010) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Response to OMB Question 1 7 10 (2).docx	Supplementary Document	Uploaded 2010-01-26	Available
0990-ASIST2010 Supporting Statement (3).doc	Supporting Statement A	Uploaded 2009-08-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190390	Comparison Organization Staff (Telephone Interviews)	Other-comparison form	New
190389	Consumers (Focus groups)	Other-survey	New
190388	Consumers (In-person interviews)	Other-survey	New
190387	Partner Organization Staff (In - person interview)	Other-on site	New
190386	Grantee Staff	Other-Telephone Interview	New

ICR Details

OMB Control No: 0990-0355	ICR Reference No: 200908-0990-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluate the Advancing Systems Improvements to Support Targets for Healthy People 2010 (ASIST2010) Program
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: 01/26/2010
	Date Received in OIRA: 08/20/2009
Terms of Clearance: This information collection request is approved consistent with information supplied by HHS with respect to the comparison group.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved
Responses	335	0	0
Time Burden (Hours)	335	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this assessment is to determine whether use of a public health systems/collaborative partnership approach that adds a sex and gender focus has helped grantees to meet their Healthy People 2010 targets. This study will identify examples of effective strategies and approaches to using public health systems/ collaborative partnerships that add a sex and gender focus to the selected HP 2010 focus areas. The study will explore grantees' use of evidence-based strategies to implement their programs.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	74 FR 25750	05/29/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41140	08/14/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Grantee Staff
Partner Organization Staff (In - person interview)
Consumers (In-person interviews)
Consumers (Focus groups)
Comparison Organization Staff (Telephone Interviews)

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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	335	0	0	335	0	0
Annual Time Burden (Hours)	335	0	0	335	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 collection.

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Annual Cost to Federal Government: $182,082

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)? 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: 08/20/2009

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