OMB control number

[NCIPC] Reporting of the Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action Program

OMB 0920-1425 · HHS/CDC.

OMB 0920-1425

The goal of this ICR is to collect data to monitor project performance from grantees funded under Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action. Information collected from recipients will be used to monitor and evaluate progress of program goals and objectives, identify technical assistance needs, and be accountable for the funding by responding to requests for information about the cooperative agreement. The population studied will include 100% of EfC-funded recipients. Therefore, a sampling method is not required. Recipients will report performance data to CDC annually using a web-based system (i.e., Partners’ Portal). No research design or human subjects involved. Information will be also collected via virtual interview sessions. Quantitative data will be analyzed using descriptive and summary statistics. Qualitative data will be analyzed through thematic analysis to define priority area topics and emerging themes. This Non-Substantive Change Request is submitted for compliance with recently issued EOs 14168 and 14151. There is no anticipated change to the approved burden.

The latest form for [NCIPC] Reporting of the Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action Program expires 2026-12-31 and is listed under ICR 202507-0920-007.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920 Instrument and Protocol Surveillance Capacity Assessment (SCA)Form and Instruction
Form 0920-26-0228 Surveillance Capacity AssessmentForm and Instruction
Form 0920 Instrument and Protocol Key Informant Interview - Principal InvestigatorsForm and Instruction
Form 0920-26-0228 Instrument and Protocol Key Informant Interview - Principal InvestigatorsForm and Instruction
Form 0920-26-0228 Instrument and Protocol Key Informant Interview - Principal InvestigatorsForm and Instruction
Form 0920-26-0228 Annual Performance Report (APR)Form
Att. 8 Research Determination.pdfSupplementary Document
Att. 7 EfC Privacy Assessment.pdfSupplementary Document
Att. 1_PHSA_301a_USC_241a and Section 393USC 280b-1a.pdfSupplementary Document
0920-1425 EfC Updates Crosswalk.xlsxSupplementary Document
Att 2a Public comments and responses EfC 1425 2026.pdfPublic Comments
Change Request Memo - Essentials for Childhood 072125.docxJustification for No Material/Nonsubstantive Change
SSB_EfC_Program_2026_v02.docxSupporting Statement B
SSA_EfC Program_Revision 2026 V02.docxSupporting Statement A
Att. 8 Research Determination.pdfSupplementary Document
Att. 7 EfC-ICR-PII-Privacy Act-Determination.pdfSupplementary Document
Att. 1_PHSA_301a_USC_241a and Section 393USC 280b-1a.pdfSupplementary Document
Implementation Capacity Assessment (ICA) Form and Instruction
Essentials Instrument and Protocol Evaluation and Surveillance Survey Form and Instruction
Evaluation and Surveillance Survey Form and Instruction
Instrument and Protocol Key Informant Interview - Principal Investigators/Implementer Form and Instruction
Instrument and Protocol Key Informant Interview - Principal Investigators Form and Instruction
Annual Performance Report (APR) Tool Form

All Historical Document Collections

OMB Details

Annual Performance Report (APR) Tool

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-1425Annual Performance Report (APR) Tool - Revised 22JUL2025N/AForm and instruction
Form 0920-Annual Performance Report (APR) ToolFillable FileableForm and instruction

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