Performance Progress and Monitoring Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PPMR Instrument - Attachment F	Form and Instruction	New	Available
PPMR Instrument - Attachment E	Form and Instruction	New	Available
PPMR Instrument - Attachment D	Form and Instruction	New	Available
PPMR Instrument - Attachment C	Form and Instruction	New	Available
PPMR Instrument - Attachment B	Form and Instruction	New	Available
PPMR Instrument - Attachment A	Form and Instruction	New	Repair queued
PPMR Instrument - Continuation Page	Form and Instruction	New	Available
Performance Progress and Monitoring Report (PPMR) Instrument - Main	Form and Instruction	New	Available
OFR Risk Questionnaire - Revised 02AUG2017	Form and Instruction	Unchanged	Available
PPMR Instrument - Attachment F	Form and Instruction	Unchanged	Repair queued
PPMR Instrument - Attachment E	Form and Instruction	Unchanged	Available
PPMR Instrument - Attachment D	Form and Instruction	Unchanged	Available
PPMR Instrument - Attachment C	Form and Instruction	Unchanged	Available
PPMR Instrument - Attachment B	Form and Instruction	Unchanged	Available
PPMR Instrument - Attachment A	Form and Instruction	Unchanged	Available
PPMR Instrument - Continuation Page	Form and Instruction	Unchanged	Available
Performance Progress and Monitoring Report (PPMR) Instrument - Main	Form and Instruction	Unchanged	Available
NSCR _Burden Hour Increase PPMR 26JUL2018.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-08-21	Available
Change Request 0920-1132_07AUG2017.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-08-07	Available
Change Request 0920-1132_02AUG2017_2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-08-02	Available
Change Request 0920-1132_31JAN2017_FINAL.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-01-31	Available
Supporting Statement A PPMR 31JAN2017_FINAL.docx	Supporting Statement A	Uploaded 2017-01-31	Available
Non-research determination.docx	Supplementary Document	Uploaded 2016-05-20	Available
60 Day FRN 05NOV2015.pdf	Supplementary Document	Uploaded 2016-05-20	Available
Att. 2-Legislative Authority.pdf	Supplementary Document	Uploaded 2016-05-20	Available
Att. 1-Legislative Authority.pdf	Supplementary Document	Uploaded 2016-05-20	Available
Supporting Statement B PPMR 08AUG2016 FINAL.docx	Supporting Statement B	Uploaded 2016-08-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment F
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment E
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment D
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment C
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment B
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Attachment A
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	PPMR Instrument - Continuation Page
232757	NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	New	Performance Progress and Monitoring Report (PPMR) Instrument - Main
225478	Performance Progress and Monitoring Report - Attachment G	Form and Instruction	Unchanged	OFR Risk Questionnaire - Revised 02AUG2017
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment F
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment E
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment D
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment C
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment B
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Attachment A
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	PPMR Instrument - Continuation Page
221557	Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	Performance Progress and Monitoring Report (PPMR) Instrument - Main

ICR Details

OMB Control No: 0920-1132	ICR Reference No: 201808-0920-016
Status: Historical Active	Previous ICR Reference No: 201708-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1132-18ATS
Title: Performance Progress and Monitoring Report
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: 08/29/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/29/2018
Terms of Clearance: Previous terms continue: Approved consistent with the understanding that information collected are intended to monitor for program progress toward project goals and objectives, to identify facilitators and challenges to program implementation, and report on program strategies and short term outcomes. Outcomes of this information collection are not intended to demonstrate overall impact of the CDC-funded projects.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	08/31/2019	08/31/2019
Responses	4,892	0	4,832
Time Burden (Hours)	9,014	0	6,536
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention (CDC) seeks OMB approval for a Non-Substantive Change Request to; 1) modify the Burden Hours allotted for this collection. The National HIV Surveillance System (NHSS) at CDC has elected to receive reporting information through the 0920-1132 PPMR mechanism. This will result in the addition of 2,478 Burden Hours to the approved ICR. OMB has requested that a Non-Substantive Change be submitted to add these Burden Hours to the 0920-1132 collection.

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Authorizing Statute(s): US Code: 42 USC 241 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:
	80 FR 68540	11/05/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 30307	05/16/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	NA, NA, NA, NA, NA, NA, NA, NA	Performance Progress and Monitoring Report (PPMR) Instrument - Main ,   PPMR Instrument - Continuation Page ,   PPMR Instrument - Attachment A ,   PPMR Instrument - Attachment B ,   PPMR Instrument - Attachment C ,   PPMR Instrument - Attachment D ,   PPMR Instrument - Attachment E ,   PPMR Instrument - Attachment F
Performance Progress and Monitoring Report - Attachment A-F	NA, NA, NA, NA, NA, NA, NA, NA	Performance Progress and Monitoring Report (PPMR) Instrument - Main ,   PPMR Instrument - Continuation Page ,   PPMR Instrument - Attachment A ,   PPMR Instrument - Attachment B ,   PPMR Instrument - Attachment C ,   PPMR Instrument - Attachment D ,   PPMR Instrument - Attachment E ,   PPMR Instrument - Attachment F
Performance Progress and Monitoring Report - Attachment G	NA	OFR Risk Questionnaire - Revised 02AUG2017

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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	4,892	4,832	0	-3,140	3,200	0
Annual Time Burden (Hours)	9,014	6,536	0	-3,922	6,400	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: Use of the 0920-1132 PPMR by the National HIV Surveillance System (NHSS) results in the addition of 2,478 Burden Hours.

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Annual Cost to Federal Government: $830,916

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 08/29/2018

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