Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Reaccredited health departments	Form	New	Available
Approaching accreditation health departments	Form	New	Available
Accredited one year health departments	Form	New	Available
Recently accredited health departments	Form	New	Available
Applicant Health Departments	Form	New	Available
AttachmentN_PHAB Survey Distribution Table.docx	Supplementary Document	Uploaded 2019-12-30	Repair queued
AttachmentM_Non-Research determination.docx	Supplementary Document	Uploaded 2019-12-30	Available
60 Day FRN_092519.pdf	Supplementary Document	Uploaded 2019-12-30	Available
AttachmentA_Public Health Service Act.doc	Supplementary Document	Uploaded 2019-12-30	Available
Statement B PHAB ICR updated 121919.docx	Supporting Statement B	Uploaded 2019-12-30	Available
Statement A PHAB ICR UPDATED 121919.docx	Supporting Statement A	Uploaded 2019-12-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239114	Reaccredited health departments	Form	New
239113	Approaching accreditation health departments	Form	New
239112	Accredited one year health departments	Form	New
239111	Recently accredited health departments	Form	New
239110	Applicant Health Departments	Form	New

ICR Details

OMB Control No: 0920-1295	ICR Reference No: 201912-0920-015
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-19BQB
Title: Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/2020
	Date Received in OIRA: 01/27/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved
Responses	300	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	4,070	0	0

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Abstract: The purpose of this ICR is to collect information from health departments throughout the initial accreditation and reaccreditation process to: a) learn about program processes and the accreditation/reaccreditation standards to improve the program's quality, and b) document program outcomes to demonstrate impact and inform decision making about future program direction.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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 50452	09/25/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 3914	01/23/2020
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
Approaching accreditation health departments	none	Approaching accreditation health departments
Reaccredited health departments	none	Reaccredited health departments
Accredited one year health departments	none	Accredited one year health departments
Recently accredited health departments	none	Recently accredited health departments
Applicant Health Departments	none	Survey 1

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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	300	0	0	300	0	0
Annual Time Burden (Hours)	100	0	0	100	0	0
Annual Cost Burden (Dollars)	4,070	0	0	4,070	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: This is a new ICR. Cost discrepancy is due to rounding.

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Annual Cost to Federal Government: $93,189

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: 01/27/2020

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