Prevention Research Centers Program National Evaluation Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRC Indicator Survey	Form	Modified	Available
PRC Telephone Interview	Form	New	Available
0920-0650_SS_B_03.24.2010.docx	Supporting Statement B	Uploaded 2010-04-12	Available
Non-research determination 0920-0650.pdf	Supplementary Document	Uploaded 2010-04-12	Available
Attachment 6. Consultants.doc	Supplementary Document	Uploaded 2010-04-12	Available
Attachment 3. Indicators.doc	Supplementary Document	Uploaded 2010-04-12	Available
Attachment 2B. Public Comment and CDC Response.docx	Supplementary Document	Uploaded 2010-04-12	Available
Attachment 2A. Federal Register Notice.pdf	Supplementary Document	Uploaded 2010-04-12	Available
Attachment 1. Authorizing Legislation.pdf	Supplementary Document	Uploaded 2010-04-12	Available
0920-0650_SS_A_03.24.2010.docx	Supporting Statement A	Uploaded 2010-04-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37806	PRC Indicator Survey	Form	Modified
192734	PRC Telephone Interview	Form	New

ICR Details

OMB Control No: 0920-0650	ICR Reference No: 201004-0920-013
Status: Historical Active	Previous ICR Reference No: 200706-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Prevention Research Centers Program National Evaluation Reporting System
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: 06/03/2010
	Date Received in OIRA: 04/27/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved	08/31/2010
Responses	74	0	66
Time Burden (Hours)	259	0	279
Cost Burden (Dollars)	0	0	0

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Abstract: This request for revision of electronic collection of information (OMB 0920-0650, exp. 8/31/2010) is from the Prevention Research Centers (PRC) Program of CDC. This revision includes change to data collection methods, modify title, reduce the number of questions and propose collecting data only annually, and increase the number of respondent PRCs. PRCs are housed in schools of public health or medicine. They conduct health promotion and disease prevention research on a range of topics using a multi-disciplinary and community-based approach. Partners collaborate with the PRC to assess community health priorities, identify research priorities, set a research agenda, conduct research projects and related activities such as training and technical assistance, and disseminate research to public health practitioners, researchers, and the general public. The PRC Information System (IS) is a web-based application to collect information related to work plans and progress reports and to track progress toward the PRC performance indicators.

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Authorizing Statute(s): PL: Pub.L. 98 - 551 771 Name of Law: Health Promotion and Disease Prevention Amendments of 1984
  

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:
	75 FR 4395	01/27/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 18503	04/12/2010
Did the Agency receive public comments on this ICR? Yes

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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
PRC Indicator Survey	none	Web-based Survey
PRC Telephone Interview	none	Telephone 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	74	66	0	8	0	0
Annual Time Burden (Hours)	259	279	0	-20	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: This request is for a revision, with an overall decrease in burden and increase in respondents. The program requests approval by June 1 so they can provide some training on new procedures before the first data collection cycle. The program would like to change the title to "Prevention Research Centers Program National Evaluation Reporting System".

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Annual Cost to Federal Government: $153,000

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]? No

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: 04/27/2010

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