Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information System)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SS_B 02.16.2011.docx	Supporting Statement B	Uploaded 2011-03-01	Available
Attachment 5. Usability Testing Participants.doc	Supplementary Document	Uploaded 2011-03-01	Available
Attachment 2b. Summary of Public Comments.docx	Supplementary Document	Uploaded 2011-03-01	Available
Attachment 5. Usability Results.doc	Supplementary Document	Uploaded 2008-01-16	Available
SS_A 02.16.2011.docx	Supporting Statement A	Uploaded 2011-03-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7147	Heart Disease and Stroke Prevention Programs	Other-WORD	Modified
183886	WISEWOMAN Programs	Other-WORD	Removed

ICR Details

OMB Control No: 0920-0679	ICR Reference No: 201103-0920-002
Status: Historical Active	Previous ICR Reference No: 200802-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Division for Heart Disease and Stroke Prevention Management Infromation System (formerly titled: Cardiovascular Health Branch Management Information 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: 04/08/2011
	Date Received in OIRA: 03/08/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved	05/31/2011
Responses	84	0	98
Time Burden (Hours)	504	0	588
Cost Burden (Dollars)	0	0	0

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Abstract: This Revision ICR supports continued collection of progress and activity information from health departments in selected states and the District of Columbia. Respondents are funded through the National Heart Disease and Stroke Prevention Program. Information collected through the electronic MIS is used to monitor and evaluate programs, and to provide technical assistance to NHDSPP awardees.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: The 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 76469	12/08/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 10907	02/28/2011
Did the Agency receive public comments on this ICR? Yes

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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
Heart Disease and Stroke Prevention Programs	1	DHDSP MIS SCREEN SHOTS
WISEWOMAN 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	84	98	0	-14	0	0
Annual Time Burden (Hours)	504	588	0	-84	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: There will be a net reduction in burden hours due to a net reduction in the number of respondents. Although there will be an increase in the number of awardees funded through the NHDSPP, reporting requirements involving the MIS will be discontinued for awardees funded through the WISEWOMAN program. No changes are proposed to the information collection instrument, the burden per response, or the frequency of information collection.

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Annual Cost to Federal Government: $56,000

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]? 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: 03/08/2011

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