Management Information System

Management Information System for Comprehensive Cancer Control Programs

Appendix 4. CCC MIS

Management Information System for Comprehensive Cancer Control Programs

OMB: 0920-0841

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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)




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



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



TOTAL

$575,000









MIS DATA COLLECTION INSTRUMENT SCREEN SHOTS

TABLE OF CONTENTS

Information Sections

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

Program Info: Contact Info

Program Info: Program Summary

Resources: Contract

Resources: Partnership/Coalition

Resources: Coalition cont.

Resources: Coalition attachment

Resources: Personnel





Financial: Cost Share

Financial: In-Kind





Planning: Burden Summary

Planning: Burden Assessment

Planning: Standard Data Source

Planning: Other Data Source

Planning: Evaluation Plan

































Planning: Action/Work Plan


Funding Cycle Objectives:



Planning: Action/Work Plan


Annual Objectives:







Planning: Action/Work Plan


Annual Objectives (continued)












Planning: Action/Work Plan


Annual Objectives (continued)







Planning: Action/Work Plan


Annual Objectives (continued)





Planning: Action/Work Plan


Objective Progress (Objective Met = Yes):




Planning: Action/Work Plan


Objective Progress (Objective Met = No/Ongoing):





Planning: Action/Work Plan


Annual Activities:


Planning: Action/Work Plan


Products:













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