Awardee Lead Profile Assessment (ALPA)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1215 Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)	Form and Instruction	New	Available
Form 0920-1215 Awardee Lead Profile Assessment (ALPA) Web Survey	Form and Instruction	Modified	Available
Att5 PIA Form_ALPA 20200828.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att3b FY18 NOFO.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att8 ALPA Research Determination 20200626.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att7 Follow-Up Email 20200928.docx	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att6 Invitation to Participate 20200928.docx	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att3a FY17 NOFO.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued
1 - ALPA SS Part B 20200928.docx	Supporting Statement B	Uploaded 2020-10-27	Repair queued
1 - ALPA SS Part A 20200928.docx	Supporting Statement A	Uploaded 2020-10-27	Repair queued
Att2 ALPA 60-day FRN.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued
Att1 Authorizing Legislation.pdf	Supplementary Document	Uploaded 2020-10-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244285	Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)	Form and Instruction	New
228696	Awardee Lead Profile Assessment (ALPA) Web Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1215	ICR Reference No: 202010-0920-015
Status: Received in OIRA	Previous ICR Reference No: 201710-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1215
Title: Awardee Lead Profile Assessment (ALPA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/09/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2021
Responses	61	48
Time Burden (Hours)	48	6
Cost Burden (Dollars)	0	0

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Abstract: The purpose of this annual assessment under the cooperative agreement is to identify: 1) jurisdictional legal frameworks governing CDC-funded childhood lead poisoning prevention programs in the United States and 2) strategies for implementing childhood lead poisoning prevention activities in the United States. Data will be collected annually from the project managers of funded lead poisoning prevention programs of state and local governments (or their bona fide fiscal agents).

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Authorizing Statute(s): PL: Pub.L. 114 - 322 2204 Name of Law: Water Infrastructure Improvements for the Nation
   US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
   US Code: 42 USC 301A, 317A, and 317B 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:
	85 FR 43837	07/20/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70151	11/04/2020
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
Awardee Lead Profile Assessment (ALPA) Web Survey	0920-1215	Awardee Lead Profile Assessment (ALPH) Web Survey
Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)	0920-1215	Awardee Lead Profile Assessment (ALPH) Email Survey (MS WORD)

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	61	48	0	12	1	0
Annual Time Burden (Hours)	48	6	0	41	1	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: Survey questions with text box answers were revised to questions with multiple choice answer options. Specific terms and phrases were modified for conciseness and clarification.

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Annual Cost to Federal Government: $2,419,324

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.     Yes

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? No

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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: 11/09/2020

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