MONITORING AND REPORTING SYSTEM FOR CHRONIC DISEASE PREVENTION AND CONTROL PROGRAMS

Forms and Documents

Document Name	Status
Form 1 Behavioral Risk Factor Surveillance Programs Form	New
Form 1 Healthy Communities Programs Form	New
Form 1 Tobacco Control Programs Form	New
Form 1 Diabetes Prevention and Control Program Form	New
Explanation of Burden Reduction.docx Supplementary Document	2010-11-05
SS_Part_B_5-28-2010.docx Supporting Statement B	2010-07-16
Att 3. Awardees.docx Supplementary Document	2010-07-16
Att 2. 60-day FRN 05.25.2010.pdf Supplementary Document	2010-07-16
Att 1c. 15 USC 4401.txt Supplementary Document	2010-07-16
Att 1b. PL 98-474.pdf Supplementary Document	2010-07-16
Att 1a. PHSA.pdf Supplementary Document	2010-07-16
SS_Part_A_6-25-2010.docx Supporting Statement A	2010-08-03

IC Document Collections

IC ID	Document Title	Status
194062	Behavioral Risk Factor Surveillance Programs Form	New
194061	Healthy Communities Programs Form	New
194060	Tobacco Control Programs Form	New
194059	Diabetes Prevention and Control Program Form	New

ICR Details

OMB Control No: 0920-0870	ICR Reference No: 201008-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: MONITORING AND REPORTING SYSTEM FOR CHRONIC DISEASE PREVENTION AND CONTROL PROGRAMS
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/05/2010
	Date Received in OIRA: 08/03/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved
Responses	422	0	0
Time Burden (Hours)	2,532	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC provides funding to chronic disease 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 programs to monitor performance and support program needs for technical assistance. CDC is transitioning to an enhanced MIS a common set of performance indicators.

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Authorizing Statute(s): US Code: 15 USC 1331 Name of Law: Comprehensive Smoking Education Act
   US Code: 15 USC 4401 Name of Law: Comprehensive Smokeless Tobacco Health Education
   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:
	75 FR 29347	05/25/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 41206	07/15/2010
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Behavioral Risk Factor Surveillance Programs	1	Management Information System (MIS) screen shots
Diabetes Prevention and Control Program	1	Management Information System (MIS) screen shots
Tobacco Control Programs	1	Management Information System (MIS) screen shots
Healthy Communities Programs	1	Management Information System (MIS) screen shots

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ICR Summary 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	422	0	0	422	0	0
Annual Time Burden (Hours)	2,532	0	0	2,532	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection involving an enhanced Management Information system. The new MIS will harmonize reporting requirements across multiple state-based programs and replace two previously approved Management Information Systems, 0920-0601, and 0920-0479.

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Annual Cost to Federal Government: $161,667

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]? No

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: 08/03/2010

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