Monitoring And Reporting System For Community Transformation Grant Awardees

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CTG CDMIS ICR SS-Part B_03 22 2012.docx	Supporting Statement B	Uploaded 2012-05-03	Repair queued
Attachment 1b PL 111-148 Section 4201 CTG.docx	Supplementary Document	Uploaded 2012-05-03	Repair queued
Attachment 3 CTG Awardees.docx	Supplementary Document	Uploaded 2012-05-03	Repair queued
Attachment 2a Federal Register Notice.pdf	Supplementary Document	Uploaded 2012-05-03	Repair queued
Attachment 2b Summary of Public Comments.doc	Supplementary Document	Uploaded 2012-05-03	Repair queued
CTG CDMIS ICR SS-Part A_04 23 2012.docx	Supporting Statement A	Uploaded 2012-05-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
202317	CTG Program Awardees (Privat Sector) Semi-annual reporting	Instruction	New
202316	CTG Program Awardees (Private Sector) Initial population		New
202315	Community Transformatin Grant Program Awardees (state, local and tribal government sector) semi-annual reporting	Instruction	New
202314	Community Transformation Grant Program Awardees (state, local and trival government sector) initial population		New

ICR Details

OMB Control No:	ICR Reference No: 201205-0920-004
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Monitoring And Reporting System For Community Transformation Grant Awardees
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: Improperly submitted	Conclusion Date: 07/06/2012
	Date Received in OIRA: 05/16/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC Plans to collection information from awardees funder under the community transformation grant (CTG) program. Awardees will report progress and activity information to CDC unsing an electronic Management information system(MIS). Reports are due twice per year but updates can be enetered at any time. OMB approval is requested for three years.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 4201 Name of Law: Patient Protection and Affordable Care 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:
	76 FR 76165	12/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 27775	05/11/2012
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Community Transformation Grant Program Awardees (state, local and trival government sector) initial population
Community Transformatin Grant Program Awardees (state, local and tribal government sector) semi-annual reporting
CTG Program Awardees (Private Sector) Initial population
CTG Program Awardees (Privat Sector) Semi-annual reporting

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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:

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Annual Cost to Federal Government: $178,613

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]? Yes

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: 05/16/2012

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