Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1108 Hospital Inventory Submission Spreadsheet	Form	Modified	Available
Form 0920-1108 Hospital Inventory Data Elements	Form	Modified	Available
Form 0920-1108 Hospital Inventory Data - Hospital Partners	Form	Modified	Repair queued
Attachment 9 2024 OMB SPD-15 Update Summary Exhibits.pdf	Supplementary Document	Uploaded 2024-12-09	Repair queued
Attachment 8_Screenshot SAMS web portal.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 8_Screenshot SAMS web portal.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 7_IRB Approval 2024.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 7_IRB Approval 2024.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 3_Strategies_Measures.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 3_Strategies_Measures.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 2_LogicModel.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 2_LogicModel.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 1_Section 317 Public Health Service Act.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
Attachment 1_Section 317 Public Health Service Act.pdf	Supplementary Document	Uploaded 2024-08-23	Repair queued
30_Day_FRN_Template_July2024_IV.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-08-23	Available
30_Day_FRN_Template_July2024_IV.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-08-23	Repair queued
OMB Change Request Coverdell_Final.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2022-01-18	Repair queued
OMB Change Request Coverdell_Final.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2022-01-18	Repair queued
Attachment 7_PCNASP_privacy_narrative_2020 rk ca.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
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 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	Repair queued
Attachment 12_Table Shell of PM Report.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 11c_Crosswalk of hospital inventory changes_Clean.xlsx	Supplementary Document	Uploaded 2021-04-26	Repair queued
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 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 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 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 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	Repair queued
Attachment 8_IRB Approval memo.docx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 6_Copy of Published 60 Day FRN.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
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	Repair queued
Attachment 3_Crosswalk _Measures.docx	Supplementary Document	Uploaded 2021-04-26	Repair queued
Attachment 2_PCNASP NOFO 2021-Logic Model.pdf	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
Attachment 1_Section 317 Public Health Service Act.pdf	Supplementary Document	Uploaded 2021-04-26	Repair queued
PCNASP SSB.docx	Supporting Statement B	Uploaded 2024-08-23	Repair queued
PCNASP SSB.docx	Supporting Statement B	Uploaded 2024-08-23	Repair queued
PCNASP SSA_F_Updated (002).docx	Supporting Statement A	Uploaded 2024-12-09	Repair queued
PCNASP SSA_F.docx	Supporting Statement A	Uploaded 2024-09-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236180	Pre-Hospital Care Data - PCNASP Awardee -EMS respondents	Other-Data elements	Modified
219135	Hospital Inventory Data - PCNASP Awardee	Form	Modified	Hospital Inventory Submission Spreadsheet
219135	Hospital Inventory Data - PCNASP Awardee	Other-Data elements	Modified
219132	In-Hospital Quality of Care Data - PCNASP Awardee	Other-Data elements	Modified
219131	Pre-Hospital Care Data - PCNASP Awardee - hospital respondents	Other-Manual	Modified
219130	Hospital Inventory Data - Hospital Partners	Form	Modified	Hospital Inventory Data Elements
219130	Hospital Inventory Data - Hospital Partners	Form	Modified

ICR Details

OMB Control No: 0920-1108	ICR Reference No: 202408-0920-015
Status: Active	Previous ICR Reference No: 202201-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1108
Title: Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
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 with change	Conclusion Date: 12/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/11/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved	12/31/2024
Responses	767	0	767
Time Burden (Hours)	501	0	501
Cost Burden (Dollars)	0	0	19,409

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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 Non-Substantive Change Request will involve minor modifications to approved In-Hospital Data Elements. The Change Request does not require the collection of new or additional primary data, as the primary data are already available to awardees via their electronic health record (EHR) systems, and results in four additional administrative Data Elements reported to CDC, with no change in burden.

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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:
	89 FR 47958	06/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 66726	08/16/2024
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	0920-1108	Hospital Inventory Data Elements
Hospital Inventory Data - PCNASP Awardee	0920-1108	Hospital Inventory Submission Spreadsheet
In-Hospital Quality of Care Data - PCNASP Awardee
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 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	767	767	0	0	0	0
Annual Time Burden (Hours)	501	501	0	0	0	0
Annual Cost Burden (Dollars)	0	19,409	0	-19,409	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: $339,964

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: 09/11/2024

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