Evaluation of the National Partnership for Action to End Health Disparities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-0406FINAL_National Partnership Action OMB Supporting Statement Section B_3_16_16.docx	Supporting Statement B	Uploaded 2016-03-18	Available
0990-0406National Partnership for Action OMB Supporting Statement Section A_6_23_16.docx	Supporting Statement A	Uploaded 2016-06-23	Available
0990-0406-Eval_NPA Partner Survey.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-07-09	Available
0990-0406-Eval_NPA RHEC Survey.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-07-09	Available
0990-0406-Eval_NPA State Survey.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-07-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205846	State Minority Health Office Directors/Coordinators and State Department of Health Representatives	Other-form	Unchanged
205845	Key NPA partner organizations	Other-form	Unchanged
205844	RHEC Members	Other-forms	Unchanged
205843	RHEC Subcommittee chairs group interviews	Other-interview	Unchanged
205842	RHEC co-chairs interview	Other-interview	Unchanged

ICR Details

OMB Control No: 0990-0406	ICR Reference No: 201603-0990-002
Status: Historical Active	Previous ICR Reference No: 201307-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 19773
Title: Evaluation of the National Partnership for Action to End Health Disparities
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2016
	Date Received in OIRA: 03/25/2016
Terms of Clearance: Approved consistent with the understanding that the data to be collected will be used to inform the various stakeholders involved in implementation of the NPA and the National Stakeholder Strategy about progress, results, lessons learned, and necessary mid-course adjustments. This collection is not intended to evaluate any potential impact of the NPA on national health disparities/equity.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	06/30/2016
Responses	545	0	545
Time Burden (Hours)	263	0	263
Cost Burden (Dollars)	0	0	0

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Abstract: OMH sought to establish the priorities for a national strategy using a community-oriented approach. The result is the National Stakeholder Strategy for Achieving Health Equity (National Stakeholder Strategy). It is a roadmap for eliminating health disparities through cooperative and strategic action. Blueprints for Action will align with the National Stakeholder Strategy to help guide action at the local, state, and regional levels. There will be blueprints for the 10 HHS regions. Targeted initiatives will be organized by partners in the public and private sectors in support of the NPA.

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Authorizing Statute(s): None

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:
	80 FR 80779	12/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 15732	03/24/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
RHEC co-chairs interview
RHEC Subcommittee chairs group interviews
RHEC Members
Key NPA partner organizations
State Minority Health Office Directors/Coordinators and State Department of Health Representatives

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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	545	545	0	0	0	0
Annual Time Burden (Hours)	263	263	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $187,854

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: 03/25/2016

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