[NCHHSTP] National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Intensive Complete Long-Term Evaluation (electronic option)	Form and Instruction	Modified	Available
Intensive Complete Long-Term Evaluation (paper option)	Form and Instruction	Modified	Available
Intensive Complete Long-Term Evaluation	Form and Instruction	Modified	Repair queued
Intensive Complete Post-Course Evaluation (electronic option)	Form and Instruction	Modified	Available
Intensive Complete Post-Course Evaluation (paper option)	Form and Instruction	Modified	Available
Intensive Complete Post-Course Evaluation	Form and Instruction	Modified	Repair queued
Standard Long-Term Evaluation (electronic option)	Form and Instruction	Modified	Available
Standard Long-Term Evaluation (paper option)	Form and Instruction	Modified	Available
Standard Long-Term Evaluation	Form and Instruction	Modified	Repair queued
Standard Post-Course Evaluation (electronic version)	Form and Instruction	Modified	Available
Standard Post-Course Evaluation (paper version)	Form and Instruction	Modified	Available
Standard Post-Course Evaluation	Form and Instruction	Modified	Repair queued
NNPTC Abbreviated Health Professional Application for Training (electronic option)	Form and Instruction	Modified	Available
NNPTC Abbreviated Health Professional Application for Training (paper option)	Form and Instruction	Modified	Repair queued
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	Form and Instruction	Modified	Repair queued
Att 18 Privacy Impact Assessment - Signed.pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
Att 17 Non-Research Project Determination.pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
Att 2c Non-Subs Comment #2 to 60-day FRN.pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
Att 2b Non-Subs Comment #1 to 60-day FRN.pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
Att 2a 60 Day Published 8-22-2022.pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
Att 1 Authorizing Legislation Section 301 PHSA.docx	Supplementary Document	Uploaded 2023-01-20	Repair queued
Supporting-statement-B_12202022.docx	Supporting Statement B	Uploaded 2023-01-20	Repair queued
Supporting-statement-A_01092023.docx	Supporting Statement A	Uploaded 2023-01-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251729	Intensive Complete Long-Term Evaluation	Form and Instruction	Modified	Intensive Complete Long-Term Evaluation (electronic option)
251729	Intensive Complete Long-Term Evaluation	Form and Instruction	Modified	Intensive Complete Long-Term Evaluation (paper option)
251729	Intensive Complete Long-Term Evaluation	Form and Instruction	Modified
251728	Intensive Complete Post-Course Evaluation	Form and Instruction	Modified	Intensive Complete Post-Course Evaluation (electronic option)
251728	Intensive Complete Post-Course Evaluation	Form and Instruction	Modified	Intensive Complete Post-Course Evaluation (paper option)
251728	Intensive Complete Post-Course Evaluation	Form and Instruction	Modified
251727	Standard Long-Term Evaluation	Form and Instruction	Modified	Standard Long-Term Evaluation (electronic option)
251727	Standard Long-Term Evaluation	Form and Instruction	Modified	Standard Long-Term Evaluation (paper option)
251727	Standard Long-Term Evaluation	Form and Instruction	Modified
251726	Standard Post-Course Evaluation	Form and Instruction	Modified	Standard Post-Course Evaluation (electronic version)
251726	Standard Post-Course Evaluation	Form and Instruction	Modified	Standard Post-Course Evaluation (paper version)
251726	Standard Post-Course Evaluation	Form and Instruction	Modified
225770	3 Month Long-Term Email Invitation	Other-3-Month Long-Term Email Invitation (WORD version)	Modified
225769	Immediate Post-Course Email Invitation	Other-Immediate Post-Course Email Invitation (WORD version)	Modified
208451	NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	Form and Instruction	Modified	NNPTC Abbreviated Health Professional Application for Training (electronic option)
208451	NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	Form and Instruction	Modified	NNPTC Abbreviated Health Professional Application for Training (paper option)
208451	NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0995	ICR Reference No: 202211-0920-008
Status: Historical Active	Previous ICR Reference No: 202202-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0995
Title: [NCHHSTP] National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC)
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: 03/13/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/24/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	06/30/2023
Responses	11,680	0	11,680
Time Burden (Hours)	453	0	453
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this data collection is to support program management of the National Network of Sexually Transmitted Disease Clinical Prevention Training Center (NNPTC) and to evaluate the reach and impact of the NNPTC's training activities. In 2022 CDC obtained OMB approval to streamline and consolidate forms. In this Extension ICR, CDC requests OMB approval to continue information collection as previously approved. CDC anticipates that the majority of respondents will prefer an electronic response option, but paper forms are provided as an alternate response option.

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Authorizing Statute(s): PL: Pub.L. 42 - 792 776 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:
	87 FR 54126	08/20/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 3987	01/23/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
3 Month Long-Term Email Invitation
Immediate Post-Course Email Invitation
Intensive Complete Long-Term Evaluation	None, None	Intensive Complete Long-Term Evaluation (paper option) ,   Intensive Complete Long-Term Evaluation (electronic option)
Intensive Complete Post-Course Evaluation	None, None	Intensive Complete Post-Course Evaluation (paper option) ,   Intensive Complete Post-Course Evaluation (electronic option)
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)	None, None	NNPTC Abbreviated Health Professional Application for Training (paper option) ,   NNPTC Abbreviated Health Professional Application for Training (electronic option)
Standard Long-Term Evaluation	None, None	Standard Long-Term Evaluation (paper option) ,   Standard Long-Term Evaluation (electronic option)
Standard Post-Course Evaluation	None, None	Standard Post-Course Evaluation (paper version) ,   Standard Post-Course Evaluation (electronic version)

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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	11,680	11,680	0	0	0	0
Annual Time Burden (Hours)	453	453	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $102,073

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: 01/24/2023

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