[NCCDPHP] Paul Coverdell National Acute Stroke Program (2015-2020) Assessment

OMB 0920-1233

The purpose of this data collection is to collect information from all nine funded Paul Coverdell National Acute Stroke Program (PCNASP) grantees and a sample of their partners to (1) assess the actual partner costs of establishing statewide comprehensive stroke systems of care; and (2) increase CDC’s understanding of funded programs’ implementation of effective state-based stroke systems of care and PCNASP specific contributions. The timing of the data collection request aligns with the term of the funding announcement. Information obtained from this data collection will be critical to improving immediate efforts and achieving the goals of spreading and replicating state-level strategies that are proven programmatically and are cost-effective in contributing to a higher quality of care for stroke patients.

The latest form for [NCCDPHP] Paul Coverdell National Acute Stroke Program (2015-2020) Assessment expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1233 PCNASP Interview Guides - Coverdell Partners Form and Instruction
Data Analyst/Program Evaluator - Telephone Interview Protocol Form and Instruction
Form 0920-1233 PCNASP Interview Guides - Coverdell Quality Improvement Specialist Form and Instruction
Grantee Program Manager - Telephone Interview Protocol Form and Instruction
Form 0920-1233 PCNASP Interview Guide - Coverdell Program Director Form and Instruction
Form 0920-1233 Coverdell- Cost Collection Tool (Program Manager) Form and Instruction
A6. IRB Determination Memorandum.pdf Supplementary Document
A2-B3. Coverdell Cost Collection Tool_08-12-22.xlsx Supplementary Document
PCNASP OMB Statement B_110222.docx Supporting Statement B
PCNASP OMB Statement A_110122.docx Supporting Statement A
A3-B1. Introductory Email about Interviews.docx Supplementary Document
B4. Invitation and Reminder about Cost Data Collection_10-16-2022.docx Supplementary Document
A5. 0920-1233 60 day FRN May23-2022 (002).pdf Supplementary Document
A1. Public Health Service Act (42 U.S.C. 241).pdf Supplementary Document
PCNASP Interview Guides - Coverdell Partners Form and Instruction
Data Analyst/Program Evaluator - Telephone Interview Protocol Form and Instruction
PCNASP Interview Guides - Coverdell Quality Improvement Specialist Form and Instruction
Grantee Program Manager - Telephone Interview Protocol Form and Instruction
PCNASP Interview Guide - Coverdell Program Director Form and Instruction
Coverdell- Cost Collection Tool (Program Manager) Form and Instruction

All Historical Document Collections

202209-0920-011 Approved without change	Reinstatement with change of a previously approved collection	2022-11-28
201804-0920-010 Approved without change	New collection (Request for a new OMB Control Number)	2018-04-25

OMB Details

Partner Program Manager - Cost Resource and Utilization Tool

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA

Cost Resource and Utilization Tool

Form and instruction

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