Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Post-Hospital Quality of Care Data - Hospital Partners	Form and Instruction	Removed	Available
Pre-Hospital Quality of Care Data - Hospital Partners	Form and Instruction	Removed	Available
Attachment 12_Data burden excerpt from PCNASP reference guide.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 11_Table shells of performance measure reports.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 10d_Crosswalk of hospital inventory changes.xlsx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 10c_Crosswalk post-hospital changes.xlsx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 10b_Crosswalk in-hospital changes.xlsx	Supplementary Document	Uploaded 2019-05-23	Repair queued
Attachment 10a_Crosswalk pre-hospital changes.xlsx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 9_Collection and transmission diagram.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 8_Screenshot SAMS web portal.pdf	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 7_IRB approval letter 2019.docx	Supplementary Document	Uploaded 2019-05-23	Repair queued
Attachment 6_PCNASP 60day FRN.pdf	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 3b_Crosswalk outcomes, measures, data sources.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 3a_Crosswalk aims and outcomes.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 1_PCNASP Awardees 2015-2020.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attachment 2_Section 317 Public Health Service Act.pdf	Supplementary Document	Uploaded 2019-05-23	Available
Coverdell SSB.docx	Supporting Statement B	Uploaded 2019-05-23	Available
Coverdell SSA.docx	Supporting Statement A	Uploaded 2019-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236182	Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents	Other-Data elements	New
236180	Pre-Hospital Care Data - PCNASP Awardee -EMS respondents	Other-Data elements	New
219135	Hospital Inventory Data - PCNASP Awardee	Other-Data elements	Modified
219134	Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents	Other-Data elements	Modified
219132	In-Hospital Quality of Care Data - PCNASP Awardee	Other-Data elements	Modified
219131	Pre-Hospital Care Data - PCNASP Awardee - hospital respondents	Other-Data elements	Modified
219130	Hospital Inventory Data - Hospital Partners	Other-Data elements	Modified
219129	Post-Hospital Quality of Care Data - Hospital Partners	Form and Instruction	Removed
219128	Pre-Hospital Quality of Care Data - Hospital Partners	Form and Instruction	Removed

ICR Details

OMB Control No: 0920-1108	ICR Reference No: 201905-0920-010
Status: Historical Active	Previous ICR Reference No: 201511-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1108
Title: Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2019
	Date Received in OIRA: 06/21/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	03/31/2019
Responses	495	0	392
Time Burden (Hours)	361	0	98
Cost Burden (Dollars)	12,987	0	0

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Abstract: The CDC's Paul Coverdell National Acute Stroke Program (PCNASP) seeks to improve quality of care for acute stroke patients through systematic approaches to quality improvement. CDC will work with selected state health departments to collect data and improve quality of care throughout the 3 phases of the stroke continuum of care: (1) pre-hospital care, (2) in-hospital care, and (3) post-discharge care. Information on infrastructure and hospital capacity will also be collected. Changes with the reinstatement include changes in burden due to automatic data transmission and increased participation resulting in a net reduction in hours.

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Authorizing Statute(s): US Code: 42 USC 247 Name of Law: Publilc 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:
	84 FR 2510	02/07/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 28820	06/20/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents
Hospital Inventory Data - PCNASP Awardee
Hospital Inventory Data - Hospital Partners
Pre-Hospital Care Data - PCNASP Awardee - hospital respondents
In-Hospital Quality of Care Data - PCNASP Awardee
Pre-Hospital Quality of Care Data - Hospital Partners	NA	PCNASP Pre-Hospital Data Elements
Post-Hospital Quality of Care Data - Hospital Partners	NA	PCNASP Post-Hospital Transition of Care Data Elements
Pre-Hospital Care Data - PCNASP Awardee -EMS respondents
Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents

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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	495	392	0	495	-392	0
Annual Time Burden (Hours)	361	98	0	361	-98	0
Annual Cost Burden (Dollars)	12,987	0	0	12,987	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 reductions are due to the automatic transmission of data that was previously collected; increases are due to changes in methodology and an increase in participation. The net change is a reduction in burden from 382 to 361 hours.

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Annual Cost to Federal Government: $6,821,665

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: 06/21/2019

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