Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 7_PCNASP_privacy_narrative_2020 rk ca.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 13_Data Burden Excerpt.docx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 12_Table Shell of PM Report.pdf	Supplementary Document	Uploaded 2021-04-26	Missing upstream
Attachment 11c_Crosswalk of hospital inventory changes_Clean.xlsx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 11b_Crosswalk of in hospital changes_Clean.xlsx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 11a_Crosswalk of pre hospital changes_Clean.xlsx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 10_Collection transmission diagram.docx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 9_Screenshot SAMS web portal.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 8_IRB Approval memo.docx	Supplementary Document	Uploaded 2021-04-26	Available
Attachment 6_Copy of Published 60 Day FRN.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 3_Crosswalk _Measures.docx	Supplementary Document	Uploaded 2021-04-26	Available
Attachment 2_PCNASP NOFO 2021-Logic Model.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 1_Section 317 Public Health Service Act.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
PCNASP SSB_2020_Final.docx	Supporting Statement B	Uploaded 2021-04-26	Repair queued
PCNASP SSA_2020_Final_ICRO2.docx	Supporting Statement A	Uploaded 2021-04-26	Repair queued

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	Removed
236180	Pre-Hospital Care Data - PCNASP Awardee -EMS respondents	Other-Data elements	Modified
219135	Hospital Inventory Data - PCNASP Awardee	Other-Data elements	Modified
219134	Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents	Other-Data elements	Removed
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

ICR Details

OMB Control No: 0920-1108	ICR Reference No: 202104-0920-006
Status: Received in OIRA	Previous ICR Reference No: 202001-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1108
Title: Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/27/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2022
Responses	767	495
Time Burden (Hours)	501	361
Cost Burden (Dollars)	19,409	12,987

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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. This revision request describes changes to the burden and pre-hospital, in-hospital, and hospital inventory data collection instruments, including discontinuing patient level post-hospital data collection.

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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:
	85 FR 78133	12/03/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 22055	04/26/2021
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
Hospital Inventory Data - Hospital Partners
Hospital Inventory Data - PCNASP Awardee
In-Hospital Quality of Care Data - PCNASP Awardee
Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents
Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents
Pre-Hospital Care Data - PCNASP Awardee - hospital respondents
Pre-Hospital Care Data - PCNASP Awardee -EMS respondents

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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	767	495	0	308	-36	0
Annual Time Burden (Hours)	501	361	0	162	-22	0
Annual Cost Burden (Dollars)	19,409	12,987	0	7,228	-806	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden changes are due to removing instruments, increasing respondents, and instrument time burden adjustment.

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Annual Cost to Federal Government: $7,814,527

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? 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: 04/27/2021

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