Community Transformation Grants: Evaluation of Nutrition, Physical Activity, and Obesity-related Television Media Campaigns

ICR 201210-0920-013

OMB: 0920-0967

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Supporting Statement B
2013-05-13
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supplementary Document
2012-10-29
Supporting Statement A
2013-05-13
IC Document Collections
ICR Details
0920-0967 201210-0920-013
Historical Active
HHS/CDC
Community Transformation Grants: Evaluation of Nutrition, Physical Activity, and Obesity-related Television Media Campaigns
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/13/2013
Retrieve Notice of Action (NOA) 10/31/2012
  Inventory as of this Action Requested Previously Approved
05/31/2014 12 Months From Approved
41,064 0 0
8,983 0 0
0 0 0

CDC plans to conduct a web-based survey to evaluate nutrition, physical activity, and obesity related campaigns conducted as part of CDC's Community Transformation Grant program. The cross-sectional survey will be administered in areas where CTG awardees are conducting media campaigns and in two comparison samples.

US Code: 42 USC 241 Name of Law: Research and Investigations Generally
  
None

Not associated with rulemaking

  77 FR 33462 06/06/2012
77 FR 65191 10/25/2012
Yes

  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 41,064 0 0 41,064 0 0
Annual Time Burden (Hours) 8,983 0 0 8,983 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is new information collection necessary to support evaluation of ACA and ARRA funded activities.

$573,056
Yes Part B of Supporting Statement
Yes
Yes
No
Yes
Uncollected
Petunia Gissendaner 4046390164

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/31/2012


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