OMB control number

Formative and Summative Evaluation of the National Diabetes Prevention Program

OMB 0920-1090 · HHS/CDC.

OMB 0920-1090

CDC's Division of Diabetes Translation's Revision of the Information Collection Request (OMB No. 0920-1090, exp.12/31/2018) supporting an evaluation of the National Diabetes Prevention Program: Research has shown that an evidence-based lifestyle change program leading to weight loss and increased physical activity prevent or delay type 2 diabetes in persons with prediabetes or those at high risk of developing type 2 diabetes. The Public Health Service Act gives CDC general authority to evaluate programs and translate research findings in

The latest form for Formative and Summative Evaluation of the National Diabetes Prevention Program expires 2022-10-31 and is listed under ICR 201906-0920-014.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1090 Evaluation Form for Grantees	Form
Form 0920-1090 Evaluation Form for Sites	Form
0920 1090 Att 6 Overview of Changes Final.doc	Supplementary Document
0920 1090 Att 5D Annual Assessment Rpt Dashboard FInal.docx	Supplementary Document
0920 1090 Att 4 Data System Screenshots Final.docx	Supplementary Document
0920 1090 Att 8A CDC Non-Research Determination Final.pdf	Supplementary Document
0920 1090 Att 2A 60-Day FRN Final.pdf	Supplementary Document
0920 1090 Att 8B ICF IRB Determination Final.pdf	Supplementary Document
0920 1090 Att 5C Thank you Email Final.doc	Supplementary Document
0920 1090 Att 5B Reminder Email Final.doc	Supplementary Document
0920 1090 Att 5A Invitation Email Final.doc	Supplementary Document
0920 1090 Att 1B Authorizing Legislation for PHSA Final.pdf	Supplementary Document
0920 1090 Att 1A Authorizing Legislation for NDPP Final.pdf	Supplementary Document
0920 1090 Att 7 1705 Evaluation Framework Final.xlsx	Supplementary Document
0920 1090 Supporting Statement B Final.docx	Supporting Statement B
0920 1090 Supporting Statement A Final.docx	Supporting Statement A
Evaluation Form for Grantees	Form
Evaluation Form for Sites	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
201906-0920-014	Reinstatement with change of a previously approved collection	2019-07-03	Approved without change
201902-0920-010	Reinstatement without change of a previously approved collection	2019-04-24	Improperly submitted
201509-0920-001	Existing collection in use without an OMB Control Number	2015-09-10	Approved without change

OMB Details

Evaluation Form for Sites

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1090	Evaluation Form for Sites	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.