Prevention Research Centers Program National Evaluation Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRC Indicator Survey	Form	Modified	Available
OMB_Change_Request_Summary_PRC-PERS_0920-0650.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-06-29	Available
Attachment_6_0920-0650_60-day FRN_081215.pdf	Supplementary Document	Uploaded 2016-01-11	Available
Attachment_3_PRC_Evaluation_Purposes_Questions_Indicators_121615.docx	Supplementary Document	Uploaded 2016-01-11	Available
Attachment_2_List_of_Awardees_121615.docx	Supplementary Document	Uploaded 2016-01-11	Available
Attachment_1_Authorizing_Legislation_121615.pdf	Supplementary Document	Uploaded 2016-01-11	Available
0920-0650_SS_B_121615.docx	Supporting Statement B	Uploaded 2016-01-11	Available
0920-0650_SS_A_121815.docx	Supporting Statement A	Uploaded 2016-01-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37806	PRC Indicator Survey	Form	Modified
192734	PRC Key Informant Interview	Other-Interview Guide	Unchanged

ICR Details

OMB Control No: 0920-0650	ICR Reference No: 201806-0920-012
Status: Historical Active	Previous ICR Reference No: 201601-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0650-18AQD
Title: Prevention Research Centers Program National Evaluation Reporting System
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: 06/29/2018
	Date Received in OIRA: 06/29/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	06/30/2019	06/30/2019
Responses	43	0	43
Time Burden (Hours)	1,117	0	1,299
Cost Burden (Dollars)	0	0	0

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Abstract: CDC collects information from Prevention Research Centers to monitor awardees' activities and assess their progress toward achieving goals and objectives. The ICR provides an evaluation plan, and collects performance indicators with emphasis on partnerships. This Non-Substantive Change Request is for the following two changes: 1) OMB approval of the shift of the Prevention Research Center Program’s Evaluation Reporting System (PRC-PERS) from a SharePoint-based electronic platform to a REDCap electronic platform. This change is necessitated by CDC’s IT decision to migrate all SharePoint usage in mid-2018 to the Microsoft Cloud via a new version of SharePoint that does not offer the programming components necessary for the PRC-PERS data collection. 2) Deletion of questions related to research cost; these questions are being removed because sufficient data have been collected.

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Authorizing Statute(s): PL: Pub.L. 98 - 551 771 Name of Law: Health Promotion and Disease Prevention Amendments of 1984
  

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 48318	08/12/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 1953	01/14/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
PRC Indicator Survey	0920-0650, none	PRCP Data Collection System ,   PRC Program Web-based Data Collection System - REDCap
PRC Key Informant Interview

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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	43	43	0	0	0	0
Annual Time Burden (Hours)	1,117	1,299	0	-182	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: Changing Forms

Short Statement: Decrease in 182 Burden Hours is due to the elimination of the Core Research Cost Section in the revised REDCap instrument.

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Annual Cost to Federal Government: $228,796

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 06/29/2018

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