Performance Progress and Monitoring Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F	Form and Instruction	Unchanged	Available
Performance Progress and Monitoring Report - Attachment G	Form and Instruction	Unchanged	Available
Performance Progress and Monitoring Report - All Attachments/Appendices	Form and Instruction	Modified	Available
SSB Final 26AUG2019.docx	Supporting Statement B	Uploaded 2019-08-27	Available
SSA Final 26AUG2019.docx	Supporting Statement A	Uploaded 2019-08-27	Available
Non-research determination.docx	Supplementary Document	Uploaded 2019-08-27	Available
60d FRN published 08MAY2019.pdf	Supplementary Document	Uploaded 2019-08-27	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	Repair queued
Att. 2-Legislative Authority.pdf	Supplementary Document	Uploaded 2016-05-20	Available
Att. 1-Legislative Authority.pdf	Supplementary Document	Uploaded 2016-05-20	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	Unchanged
225478	Performance Progress and Monitoring Report - Attachment G	Form and Instruction	Unchanged
221557	Performance Progress and Monitoring Report - All Attachments/Appendices	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1132	ICR Reference No: 201908-0920-008
Status: Active	Previous ICR Reference No: 201808-0920-016
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1132
Title: Performance Progress and Monitoring Report
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: 10/10/2019
	Date Received in OIRA: 08/28/2019
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	10/31/2022	36 Months From Approved	10/31/2019
Responses	6,892	0	4,892
Time Burden (Hours)	13,014	0	9,014
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention (CDC) seeks OMB approval for a Revision to the Performance Progress and Monitoring Report (0920-1132). This Revision request aims to widen use of the collection to allow additional CDC partners to submit via the PPMR mechanism, and to allow these partners to submit information related to evaluation directly to those who evaluate the work that is done on behalf of CDC at the Program level. The Revision will result in the addition of 4,000 Burden Hours to the approved ICR.

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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:
	84 FR 20134	05/08/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 44312	08/23/2019
Did the Agency receive public comments on this ICR? Yes

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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
Performance Progress and Monitoring Report - All Attachments/Appendices	0920-1132, 0920-1132, 0920-1132, 0920-1132, 0920-1132, 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 ,   Budget Template ,   Work Plan and Progress Report Template ,   Performance Measure Template ,   Evaluation Plan Template ,   Health Impact Statement Template
Performance Progress and Monitoring Report - Attachment G	NA	OFR Risk Questionnaire - Revised 02AUG2017
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

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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	6,892	4,892	0	2,000	0	0
Annual Time Burden (Hours)	13,014	9,014	0	4,000	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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Revision of 0920-1132 (PPMR) is requested to and add Attachments 1a-1e designed to provide respondents with the ability to respond to additional aspects of the evaluation process and to submit directly to Program Evaluators. This revision request adds approximately 4,000 annual Burden Hours to the approved collection.

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Annual Cost to Federal Government: $754,083

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: 08/28/2019

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