Million Hearts® Hospital/Health System Recognition Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1274 Interview Guide: Million Hearts® Hospital or Health System Recognition Program JUL2022	Form and Instruction	Modified	Available
Form 0920-1274 Million Hearts® Hospitals & Health Systems Recognition Program Application JUL2022	Form	Modified	Available
Million Hearts® Hospital/Health System Recognition Program Application	Form	Modified	Repair queued
Program Application	Form	Modified	Repair queued
1274 Att 8 Proposed Changes to App.docx	Supplementary Document	Uploaded 2022-07-14	Repair queued
1274 Att 7 App to Designee Vetting.docx	Supplementary Document	Uploaded 2022-07-14	Repair queued
1274 Att 6 Elig for Million Hearts Prog Part.docx	Supplementary Document	Uploaded 2022-07-14	Repair queued
1274 Att 5 Project Deter.pdf	Supplementary Document	Uploaded 2022-07-14	Repair queued
1274 Att 3 Dear Colleague Ltr.docx	Supplementary Document	Uploaded 2022-07-14	Repair queued
1274 Att 4 Pub 60-Day FRN.pdf	Supplementary Document	Uploaded 2022-07-14	Repair queued
18VJ Att 5a-b Followup Materials Final.docx	Supplementary Document	Uploaded 2019-08-01	Repair queued
19TG Att 4b. Confirmation Email Final.docx	Supplementary Document	Uploaded 2019-08-01	Repair queued
19TG Att 3. Introduction Final.docx	Supplementary Document	Uploaded 2019-08-01	Repair queued
19TG Att 1b. Authorizing Legislation Final.docx	Supplementary Document	Uploaded 2019-08-01	Repair queued
19TG Att 1a. Authorizing Legislation PHSA Final.docx	Supplementary Document	Uploaded 2019-08-01	Repair queued
1274 SSB.docx	Supporting Statement B	Uploaded 2022-07-14	Repair queued
1274 SSA.docx	Supporting Statement A	Uploaded 2022-07-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237208	Interview Guide	Form and Instruction	Modified	Interview Guide: Million Hearts® Hospital or Health System Recognition Program JUL2022
237208	Interview Guide	Other-Interview Guide	Modified
237207	Program Application	Form	Modified	Million Hearts® Hospitals & Health Systems Recognition Program Application JUL2022
237207	Program Application	Form	Modified	Million Hearts® Hospital/Health System Recognition Program Application
237207	Program Application	Form	Modified

ICR Details

OMB Control No: 0920-1274	ICR Reference No: 202206-0920-009
Status: Historical Active	Previous ICR Reference No: 201908-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1274
Title: Million Hearts® Hospital/Health System Recognition Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/04/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/18/2022
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise any part of the collection, including the estimated burden, if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2025	36 Months From Approved	11/30/2022
Responses	80	0	160
Time Burden (Hours)	148	0	297
Cost Burden (Dollars)	7,964	0	15,928

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Abstract: The Million Hearts Hospitals or Health System Recognition Program recognizes institutions working to systematically improve the cardiovascular health of the population and communities they serve. Applicants will indicate whether they will commit to implement Million Hearts® strategies; whether they are currently implementing or have previously implemented these strategies; and have achieved results in at least one strategy. Participation is voluntary. Submission of Extension package for 0920-1274 is submitted to allow information collection to continue for an additional three years with changes made to several of the listed Priority Area titles and strategies in the Application form and revised burden tables that reflect a reduced number of anticipated applications. These estimates are based off the number of applications received since the program’s launch in 2020.

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Authorizing Statute(s): PL: Pub.L. 111 - 358 1 Name of Law: America Competes Reauthorization Act
   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:
	86 FR 51894	09/17/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 38409	06/28/2022
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
Interview Guide	0920-1274	Interview Guide: Million Hearts® Hospital or Health System Recognition Program JUL2022
Program Application	0920-1274, none	Million Hearts® Hospital/Health System Recognition Program Application ,   Million Hearts® Hospitals & Health Systems Recognition Program Application JUL2022

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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	80	160	0	-80	0	0
Annual Time Burden (Hours)	148	297	0	-149	0	0
Annual Cost Burden (Dollars)	7,964	15,928	0	-7,964	0	0

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

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision submitted to 0920-1274 results in decreased overall burden due to reduced number of anticipated applications.

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Annual Cost to Federal Government: $144,836

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: 07/18/2022

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