DELTA FOCUS Program Evaluation

ICR 201307-0920-006

OMB: 0920-0984

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supporting Statement B
2013-07-03
Supplementary Document
2013-07-03
Supplementary Document
2013-07-03
Supplementary Document
2013-07-03
Supplementary Document
2013-07-03
Supporting Statement A
2013-07-08
IC Document Collections
IC ID
Document
Title
Status
207693 New
ICR Details
0920-0984 201307-0920-006
Historical Active
HHS/CDC 19943
DELTA FOCUS Program Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/06/2013
Retrieve Notice of Action (NOA) 07/09/2013
  Inventory as of this Action Requested Previously Approved
09/30/2014 12 Months From Approved
49 0 0
49 0 0
0 0 0

The Centers for Disease Control and Prevention seeks approval to evaluate awardees under the DELTA FOCUS (Domestic Violence Prevention Enhancement and Leadership Through Alliances, Focusing on Outcomes for Communities United with States) program.

US Code: 42 USC 201 Name of Law: Family Violence Prevention and Services
   US Code: 42 USC 314 Name of Law: Domestic Violence Prevention Enhancement Act
  
None

Not associated with rulemaking

  78 FR 20114 04/03/2013
78 FR 40742 07/08/2013
Yes

1
IC Title Form No. Form Name
DELTA FOCUS Survey none DELTA FOCUS Survey

  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 49 0 0 49 0 0
Annual Time Burden (Hours) 49 0 0 49 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.

$184,170
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Walker 4046394773

  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.
07/09/2013


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