Study of the Costs Associated with Community Activities under the Communities Putting Prevention to Work CPPW) Initiative

Forms and Documents

Document Name	Status
0990-CPPW Coststudy.doc Supporting Statement B	2010-11-04
0990-CPPW_CostStudy_OMBstatement_final.doc Supporting Statement A	2010-11-04

IC Document Collections

IC ID	Document Title	Status
195149	CPPW Awardee Other-questions	New

ICR Details

OMB Control No: 0990-0365	ICR Reference No: 201011-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Study of the Costs Associated with Community Activities under the Communities Putting Prevention to Work CPPW) Initiative
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 without change	Conclusion Date: 01/21/2011
	Date Received in OIRA: 11/08/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved
Responses	204	0	0
Time Burden (Hours)	2,244	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Data on the costs of implementation of the CPPW initiative are of great value to both governments and communities planning similar interventions in the future and will be essential for any subsequent cost-effectiveness analyses of community-based programs. Variations in implementation costs would also demonstrate the extent of cost heterogeneity among programs and communities in general, as well as the potential cost implications of targeting different priority populations. All of the implementation cost information will be reported by awardees, using a uniform, Web-based, data collection instrument where costs are allocated to each CPPW objective and corresponding MAPPS strategies that an awardee implements.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 241 Name of Law: Public Health Service Act
   US Code: 8 USC 111 Name of Law: American Recovery and Reinvestment Act 2009
  

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 13289	03/19/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 67976	11/04/2010
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
CPPW Awardee

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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	204	0	0	204	0	0
Annual Time Burden (Hours)	2,244	0	0	2,244	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: New collection

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Annual Cost to Federal Government: $496,000

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? 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]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

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: 11/08/2010

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