DCPC CCC MIS – Data Collection
APPENDIX 4:
DESIGN DOCUMENT
Form: Approved
OMB No.: 0920-XXXX
Exp. Date: xx/xx/xxxx
Management Information System for Comprehensive Cancer Control Programs
Public reporting burden of this collection of information is estimated to average 6 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, GA 30333; ATTN: PRA (0920-XXXX)
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I. Estimates of Annualized Burden Hours and Costs to Input Data into the MIS
A) Estimated Annualized Burden Hours
65 respondents will provide input into the proposed system. Respondents reside in each of the 50 states, the District of Columbia, 7 tribes/tribal organizations, and 7 territories/U.S. Pacific Island jurisdictions. The annual hour burden is estimated at 780 total hours based on a total of 12 hours per respondent to complete a report twice per year. Table 1 displays the annualized report burden computations.
Table 1
Form name |
Number of respondents |
Number of responses per respondent |
Hours per response |
Response burden (in hours) |
Progress Report |
65 |
2 |
6 |
780 |
B) Estimated Annualized Cost to Respondents
Table 2 displays estimates of annualized cost to respondents for the hour burdens used to report program progress information. The hourly wage rates for program managers are based on wages for similar mid-to-high level positions in the public sector.
Table 2
Type of respondents |
Number of respondents |
Frequency of response |
Hours per response |
Hourly wage* |
Total respondent cost |
State Program Managers |
65 |
2 |
6 |
$30.65 |
$23,907 |
*Hourly wage information is from the U.S. Department of Labor, Bureau of Labor Statistics Web site (www.bls.gov/home.htm).
II. Estimates of Other Total Annual Cost Burden to Respondents and Record Keepers
The MIS is designed to use existing hardware within funded sites, and all respondents currently have access to the Internet to use the information system. No capital or maintenance costs are expected. Additionally, there are no start-up, hardware or software costs.
III. Estimates of Annualized Cost to the Federal Government
Development, Implementation, and Maintenance
Major cost factors for the MIS include application design and development costs and system modification costs. Ongoing costs will include system maintenance and training costs. For the purposes of calculating the estimated annualized cost to the government, the MIS project has been divided into two development and implementation phases (Release 1.0 and Release 1.1). Release 1.0 involves development of data entry pages for grantees, user management, and system security. Release 1.1 involves development of data transfer and report-generating functions. Table 3 provides a detailed breakdown of the estimated costs for both releases. The total cost in Table 3 is not an annualized cost. It represents the total cost for development and implementation of the system and is a one-time expenditure. The ongoing maintenance costs and associated project support costs are assumed to be constant for the useful life of the system. However, because this system gathers progress reporting information associated with specific performance measures required as part of 5-year cooperative agreements cycles with states, tribes, and territories, any change to these performance measures in the future may precipitate system modifications. The associated costs for such modifications are undetermined and are not reflected here. However, it is assumed these changes would be minimal and thus easily incorporated into the contractors overall system maintenance contract, a currently established government contract expenditure.
Table 3
Release 1.0 |
Estimated Cost |
Definition & scope |
$7,500 |
Analysis |
$35,500 |
Design |
$35,000 |
Construction |
$171,000 |
Testing |
$61,000 |
Deployment |
$13,500 |
Training |
$2,000 |
Post-production support |
$8,000 |
Project management & support |
$71,500 |
Total |
$405,000 |
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Release 1.1 |
Estimated Cost |
Definition and Scope |
$1,500 |
Analysis |
$11,000 |
Design |
$11,500 |
Construction |
$71,500 |
Testing |
$27,500 |
Deployment |
$8,000 |
Training |
$6,000 |
Post-production support |
$7,500 |
Project management & support |
$25,500 |
Total |
$170,000 |
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TOTAL |
$575,000 |
Program Information: Contact Information………………………………………………….5
Program Information: Program Summary…………………………………………………..6
Resources: Contract…………………………………………………………………………..7
Resources: Partnership/Coalition……………………………………………………………8
Resources: Coalition attachment…………………………………………………………….10
Resources: Personnel…………………………………………………………………………11
Financial: Cost Share…………………………………………………………………………12
Financial: In-kind………………………………………………………………………………12
Planning: Burden Summary………………………………………………………………….13
Planning: Burden Assessment………………………………………………………………14
Planning: Standard Data Source……………………………………………………………15
Planning: Other Data Source………………………………………………………………..16
Planning: Evaluation Plan……………………………………………………………………17
Planning: Action/Work Plan Funding Objectives…………………………………………..18
Planning: Action/Work Plan Annual Objectives……………………………………………19
Planning: Action/Work Plan Objective Progress (Objective Met = Yes)………………..23
Planning: Action/Work Plan Objective Progress (Objective Met = No)…………………24
Planning: Action/Work Plan Annual Activities……………………………………………..25
Planning: Action/Work Plan Products………………………………………………………26
Financial:
Cost Share
Financial:
In-Kind
Planning:
Burden Summary
Planning:
Standard Data Source
Funding Cycle Objectives:
Annual Objectives:
Annual Objectives (continued)
Annual Objectives (continued)
Annual Objectives (continued)
Objective Progress (Objective Met = Yes):
Objective Progress (Objective Met = No/Ongoing):
Annual Activities:
Products:
Page
File Type | application/msword |
File Title | Scope and Estimate |
Author | Northrop Grumman |
Last Modified By | arp5 |
File Modified | 2009-08-31 |
File Created | 2009-01-09 |