CDC Diabetes Prevention Recognition Program (DPRP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Evaluation data for private-sector organizations	Form and Instruction	Modified	Available
Evaluation data for public-sector organizations	Form and Instruction	Modified	Available
Application data for private-sector organizations	Form	Modified	Available
Application data for public-sector organizations	Form and Instruction	Modified	Available
Y-USA - CDC response.docx	Supplementary Document	Uploaded 2014-12-19	Available
Y-USA comments.pdf	Supplementary Document	Uploaded 2014-12-19	Available
WW comments and CDC response-compressed.pdf	Supplementary Document	Uploaded 2014-12-19	Available
WI DPH comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Available
San Juan comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Available
HLC comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Available
AMA comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Repair queued
AHIP comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Available
AADE comments and CDC response.pdf	Supplementary Document	Uploaded 2014-12-19	Available
Attachment 3 DPRP Standards 2014.docx	Supplementary Document	Uploaded 2014-12-10	Available
SS Part A_12 19 2014.docx	Supporting Statement A	Uploaded 2014-12-19	Repair queued
Attachment 6 Overview of changes.docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 5D(7) Notification of Achievement of Full Recognition.docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 5D(6) Notification of Loss of Recognition (Failure to Meet Standards).docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 5D(5) Evaluation Report.docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 5D(4) Progress Report.docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 5D(3) Failure to Submit Data (LOR).docx	Supplementary Document	Uploaded 2014-09-18	Repair queued
Attachment 5D(2) Data Reminder email (2 weeks past due).docx	Supplementary Document	Uploaded 2014-09-18	Repair queued
Attachment 5D(1) Data Reminder Email (4 weeks prior).docx	Supplementary Document	Uploaded 2014-09-18	Available
rpt684_IRB_Form.pdf	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 2B Summary of public comments.docx	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 2A FR notice (60-day).pdf	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 1B PHSA.pdf	Supplementary Document	Uploaded 2014-09-18	Available
Attachment 1A Public Law 111 148.pdf	Supplementary Document	Uploaded 2014-09-18	Available
SS Part B_12 19 2014.docx	Supporting Statement B	Uploaded 2014-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199192	Evaluation data for private-sector organizations	Form and Instruction	Modified
199191	Evaluation data for public-sector organizations	Form and Instruction	Modified
199190	Application data for private-sector organizations	Form	Modified
199189	Application data for public-sector organizations	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0909	ICR Reference No: 201409-0920-010
Status: Historical Active	Previous ICR Reference No: 201203-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: CDC Diabetes Prevention Recognition Program (DPRP)
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: 12/19/2014
	Date Received in OIRA: 10/09/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2014
Responses	1,550	0	600
Time Burden (Hours)	1,550	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: CDC established a national diabetes prevention program and criteria for recognizing organizations that deliver evidence-based diabetes prevention programs to individuals with pre-diabetes. Information will be collected to monitor, evaluate and provide technical assistance to organizations that apply for recognition through the Diabetes Prevention Recognition Program. CDC is making revisions to the standards, and thus the data collection instrumentsare being updated.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 148 399-V 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:
	79 FR 20206	04/11/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58783	09/30/2014
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
Application data for public-sector organizations	none	Application - Public-Sector
Application data for private-sector organizations	none	Att 4a - Application page
Evaluation data for public-sector organizations	none	Evaluation Data
Evaluation data for private-sector organizations	none	Evaluation Data

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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	1,550	600	0	950	0	0
Annual Time Burden (Hours)	1,550	600	0	950	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: Burden increase results from the increased number of applicants from both the private and public sector. The frequency of reporting has been reduced from semi-annual to annual.

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Annual Cost to Federal Government: $1,828,502

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: 10/09/2014

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