Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form No number Coalition Leader Interview	Form	Modified	Available
Form No number Coalition Member Survey	Form	Modified	Available
Form No number User Feedback Survey	Form	Modified	Available
Form No number Online Training Survey	Form	Modified	Available
Attachment H -- Consent Forms (2).doc	Supplementary Document	Uploaded 2009-10-01	Available
Change Request Justification.09.30.09.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-10-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
188800	Coalition Leader Interview	Form	Modified
188799	Coalition Member Survey	Form	Modified
188798	User Feedback Survey	Form	Modified
188797	Online Training Survey	Form	Modified

ICR Details

OMB Control No: 0920-0823	ICR Reference No: 200910-0920-006
Status: Historical Active	Previous ICR Reference No: 200904-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/28/2009
	Date Received in OIRA: 10/16/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	09/30/2012	09/30/2012
Responses	1,740	0	1,740
Time Burden (Hours)	353	0	353
Cost Burden (Dollars)	0	0	0

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Abstract: In October 1999 the White House established the Council on Youth Violence to coordinate youth violence prevention activities of all federal agencies. The Council in collaboration with CDC would like to evaluate a pilot implementation of the revised NYVPRC website which targets local government and community leaders.

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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

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Online Training Survey	No number	Online Training Survey
User Feedback Survey	No number	User Feedback Survey
Coalition Member Survey	No number	Coalition Member Survey
Coalition Leader Interview	No number	Coalition Leader Interview

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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	1,740	1,740	0	0	0	0
Annual Time Burden (Hours)	353	353	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $285,100

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? 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: 10/16/2009

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