Automated Management Information System (MIS) for Diabetes Prevention Control Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Annual Report for Diabetes Prevention and Control Programs	Form	Modified	Available
Add Staff Position Update	Form	Removed	Available
DDT MIS Edit Budget Update	Form	Removed	Available
DDT MIS Add Surveillance Sources	Form	Removed	Available
Add Advisory Group Update	Form	Removed	Available
DDT MIS Add Resource Update	Form	Removed	Available
DDT MIS Add Process Objective and Activity Update	Form	Removed	Available
Form 2 Semi-Annual Report for Diabetes Prevention and Control Programs	Form	Modified	Available
Supporting Statement Part B 11.30.09.doc	Supporting Statement B	Uploaded 2010-02-25	Available
30dy FRN.pdf	Supplementary Document	Uploaded 2010-03-11	Available
Attachment 2. 60-day FRN 12.17.09.pdf	Supplementary Document	Uploaded 2010-02-25	Available
Attachment 1. Authorizing Legislation.pdf	Supplementary Document	Uploaded 2010-02-25	Available
Attachment 6. MIS Services and Tools.ppt	Supplementary Document	Uploaded 2010-02-25	Available
Attachment 5. Technical Appendix.pdf	Supplementary Document	Uploaded 2010-02-25	Available
Supporting Statement Part A 02.11.2010.doc	Supporting Statement A	Uploaded 2010-03-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6913	Annual Report for Diabetes Prevention and Control Programs	Form	Modified	Annual Report for Diabetes Prevention and Control Programs
178778	Attachment 14 DDT MIS Add Staff Position Update Screen	Form	Removed	Add Staff Position Update
178777	Attachment 13 DDT MIS Edit Budget Update Screen	Form	Removed	DDT MIS Edit Budget Update
178776	Attachment 12 DDT MIS Add Surveillance Sources Screen	Form	Removed	DDT MIS Add Surveillance Sources
178775	Attachment 11 DDT MIS Add Advisory Group Update Screen	Form	Removed	Add Advisory Group Update
178774	Attachment 10 DDT MIS Add Resource Update Screen	Form	Removed	DDT MIS Add Resource Update
178773	Attachment 9 DDT MIS Add Process Objective and Activity Update Screen	Form	Removed	DDT MIS Add Process Objective and Activity Update
178772	Semi-annual Report for Diabetes Prevention and Control Programs	Form	Modified	Semi-Annual Report for Diabetes Prevention and Control Programs

ICR Details

OMB Control No: 0920-0479	ICR Reference No: 201003-0920-011
Status: Historical Active	Previous ICR Reference No: 200702-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Automated Management Information System (MIS) for Diabetes Prevention Control Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/30/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/24/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved	05/31/2010
Responses	159	0	472
Time Burden (Hours)	4,452	0	5,664
Cost Burden (Dollars)	0	0	0

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Abstract: CDC provides funding to diabetes prevention and control programs (DPCPs) in 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. CDC collects program and progress information from funded programs to monitor performance and support program needs for technical assistance. CDC is transitioning to an enhanced MIS for diabetes programs and a common set of performance indicators that will be harmonized with the information collections planned for other chronic disease prevention and control 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 66974	12/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 8365	02/24/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report for Diabetes Prevention and Control Programs	1	Annual Report for Diabetes Prevention and Control Programs
Attachment 10 DDT MIS Add Resource Update Screen	None	DDT MIS Add Resource Update
Attachment 11 DDT MIS Add Advisory Group Update Screen	None	Add Advisory Group Update
Attachment 12 DDT MIS Add Surveillance Sources Screen	None	DDT MIS Add Surveillance Sources
Attachment 13 DDT MIS Edit Budget Update Screen	None	DDT MIS Edit Budget Update
Attachment 14 DDT MIS Add Staff Position Update Screen	None	Add Staff Position Update
Attachment 9 DDT MIS Add Process Objective and Activity Update Screen	None	DDT MIS Add Process Objective and Activity Update
Semi-annual Report for Diabetes Prevention and Control Programs	2	Semi-Annual Report for Diabetes Prevention and Control Programs

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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	159	472	0	-313	0	0
Annual Time Burden (Hours)	4,452	5,664	0	-1,212	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The total estimated burden will decrease due to (1) a reduction in the number of respondents, and (2) a reduction in the burden per respondent.

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Annual Cost to Federal Government: $354,224

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: 03/24/2010

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