Monitoring and Reporting System for Chronic Disease Prevention and Control Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
State Health Dept. Tobacco Control Programs	Form	Modified	Repair queued
0920-0870 Research Determination 07-15-2014.pdf	Supplementary Document	Uploaded 2014-08-28	Available
Att 3. List of Awardees.docx	Supplementary Document	Uploaded 2014-08-28	Available
Att 2. 60-day FRN 07-15-2014.pdf	Supplementary Document	Uploaded 2014-08-28	Available
Part B - 0920-0870 Revised 07-15-2014.docx	Supporting Statement B	Uploaded 2014-08-28	Available
Part A - 0920-0870 Revised 07-15-2014.docx	Supporting Statement A	Uploaded 2014-08-28	Available
Att 1c. 15 USC 4401.txt	Supplementary Document	Uploaded 2013-10-17	Available
Att 1b. PL 98-474.pdf	Supplementary Document	Uploaded 2013-10-17	Available
Att 1a. PHSA.pdf	Supplementary Document	Uploaded 2013-10-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194060	State Health Dept. Tobacco Control Programs	Form	Modified

ICR Details

OMB Control No: 0920-0870	ICR Reference No: 201408-0920-012
Status: Historical Active	Previous ICR Reference No: 201310-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 20689
Title: Monitoring and Reporting System for Chronic Disease Prevention and Control Programs
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: 12/30/2014
	Date Received in OIRA: 09/12/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	12 Months From Approved	12/31/2014
Responses	51	0	106
Time Burden (Hours)	306	0	636
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests OMB approval for one additional year in which tobacco control programs can complete their final reporting requirements under the current cooperative agreement. Information will be collected through an electronic Management Information System.

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Authorizing Statute(s): US Code: 15 USC 1331 Name of Law: Comprehensive Smoking Education Act
   US Code: 15 USC 4401 Name of Law: Comprehensive Smokeless Tobacco Health Education
   US Code: 42 USC 301 Name of Law: 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:
	79 FR 36065	06/25/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 52342	09/03/2014
Did the Agency receive public comments on this ICR? No

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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
State Health Dept. Tobacco Control Programs	none	Survey

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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	51	106	0	-55	0	0
Annual Time Burden (Hours)	306	636	0	-330	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision provides a burden reduction due to a decrease in respondents (53 to 51), and change in the reporting frequency (semi-annually to annually).

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Annual Cost to Federal Government: $100,000

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? No

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: 09/12/2014

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