National Public Health Performance Standards Program State Public Health System Performance Assessment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0557 NPHPSP Reporting System	Form and Instruction	Modified	Available
Gov.BookletC.pdf	Supplementary Document	Uploaded 2010-07-23	Available
Gov.BookletB.pdf	Supplementary Document	Uploaded 2010-07-23	Available
Gov.BookletA.pdf	Supplementary Document	Uploaded 2010-07-23	Available
Research Dtr_State.pdf	Supplementary Document	Uploaded 2010-07-23	Available
Meeting Guide - GOV 4-08.doc	Supplementary Document	Uploaded 2010-07-23	Available
NPHPSP Denominators.docx	Supplementary Document	Uploaded 2010-07-23	Available
NPHPSP v2 Data Entry Instructions_1007.docx	Supplementary Document	Uploaded 2010-07-23	Available
Meeting Guide - STATE 4-08.doc	Supplementary Document	Uploaded 2010-07-23	Available
State Supp Stmt Part A.doc	Supporting Statement A	Uploaded 2010-07-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7010	National Public Health Performance Standards Program State Public Health Performance Assessment	Form and Instruction	Modified	NPHPSP Reporting System

ICR Details

OMB Control No: 0920-0557	ICR Reference No: 201008-0920-005
Status: Historical Active	Previous ICR Reference No: 200706-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Public Health Performance Standards Program State Public Health System Performance Assessment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/13/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2013	36 Months From Approved	09/30/2010
Responses	8	0	8
Time Burden (Hours)	96	0	96
Cost Burden (Dollars)	0	0	0

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Abstract: CDC proposes to extend the currently-approved data collection instrument related to the public health infrastructure and performance of state public health systems. The target audience for this instrument is state public health systems; the "system" includes the state public health agency and other state-level partners that contribute to public health. The data collection instrument solicits comprehensive data about how well state public health systems are meeting optimal standards established for each of the ten Essential Public Health Services. The instrument has been revised to reflect changes in public health practice and ensure that the standards reflect current public health practice and to incorporate opportunities to improve the user-friendliness. This data collection is used by responding states as well as by CDC and national partners. Respondents (state public health agencies and their system partners) use this data collection instrument to inform strategic planning and performance improvement efforts, as the information provides critical input regarding its strengths and weaknesses. CDC and other national partners use the aggregate national data to monitor progress toward the accomplishment of national infrastructure objectives included in Healthy People 2010 and to strengthen our understanding of strengths and weaknesses in state and local public health practice. Such information is critical for making better and more effective policy and resource decisions that will improve the nation's public health as a whole.

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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:
	75 FR 13134	03/18/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 47795	07/29/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Public Health Performance Standards Program State Public Health Performance Assessment	0920-0557	NPHPSP Reporting System

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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	8	8	0	0	0	0
Annual Time Burden (Hours)	96	96	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: $375,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? 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: 08/13/2010

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