Monitoring And Reporting System For Community Transformation Grant Awardees

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0920-0946 Change Request Justification 10 15 2012.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-10-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
204685	Private Sector CTG Awardees - Initial Population of the CTG MIS	Instruction	New
204684	State/Local/Tribal Government Sector CTG Awardees - Initial Population of the CTG MIS	Instruction	New
203266	Private Sector CTG Awardees - Semiannual Reporting	Instruction	Modified
203265	State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting	Instruction	Modified

ICR Details

OMB Control No: 0920-0946	ICR Reference No: 201211-0920-002
Status: Historical Active	Previous ICR Reference No: 201207-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Monitoring And Reporting System For Community Transformation Grant Awardees
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2012
	Date Received in OIRA: 11/01/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	08/31/2015	08/31/2015
Responses	230	0	136
Time Burden (Hours)	858	0	408
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): US Code: 42 USC 241 Name of Law: USC
  

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

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
State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting
Private Sector CTG Awardees - Semiannual Reporting
State/Local/Tribal Government Sector CTG Awardees - Initial Population of the CTG MIS
Private Sector CTG Awardees - Initial Population of the CTG MIS

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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	230	136	0	94	0	0
Annual Time Burden (Hours)	858	408	0	450	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: The purpose of this Change Request is to incorporate the new FY 2012 CTG awardees into the MIS-based monitoring and reporting system. No changes to the content of the information collection are proposed at this time. There are no changes to the estimated burden per response; however, there will be an increase in the overall burden due to the addition of the new CTG awardees.

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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? Yes

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: 11/01/2012

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