View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0995
ICR Reference No:
201702-0920-011
Status:
Historical Active
Previous ICR Reference No:
201309-0920-002
Agency/Subagency:
HHS/CDC
Agency Tracking No:
20457
Title:
National Network of Sexually Transmitted Disease Clinical Prevention Traning Centers (NNPTC)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/22/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/22/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2020
36 Months From Approved
Responses
7,152
0
0
Time Burden (Hours)
423
0
0
Cost Burden (Dollars)
0
0
0
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.
Authorizing Statute(s):
PL:
Pub.L. 42 - 792 776
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 48805
07/26/2016
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 9745
02/08/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
16
IC Title
Form No.
Form Name
3 Month Long-Term Email Invitation
Basic Long-Term Evaluation
Immediate Post-Course Email Invitation
Intensive Complete Long-Term Evaluation
0920-0995, 0920-0995
Att 7 Intensive Complete Long-Term Evaluation wordversion
,
Att 8 Intensive Complete Long-Term Evaluation -Screenshot
Intensive Complete Post-Couse Evaluation
0920-0995, 0920-0995
Att 5 Intensive Complete Post-Course Evaluation wordversion
,
Att 6 Intensive Complete Post-Course Evaluation -Screenshot
Intensive-Didactic Long-Term Evaluation
0920-0995, 0920-0995
Att 11 Intensive Didactic Long-Term Evaluation wordversion
,
Att 12 Intensive Didactic Long-Term Evaluation -Screenshot
Intensive-Didactic Post Course Evaluation
0920-0995, 0920-0995
Att 9 Intensive Didactic Post-Course Evaluation wordversion
,
Att 10 Intensive Didactic Post-Course Evaluation – Screenshot
NNPTC Abbreviated Health Professional Applicaton for Traiing (HPAT)
0920-0995, 0920-0995
Att 3 NNPTC Abbreviated HPAT wordversion
,
Att 4 Abbreiviated HPAT Screenshot
Practicum Long-Term Evaluation
0920-0995, 0920-0995
Att 15 Practicum Long-Term Evaluation wordversion
,
Att 16 Practicum 3-month Long-Term Evaluation -Screenshot
Practicum Post-Course Evaluation
0920-0995, 0920-0995
Att 13 Practicum Post-Course Evaluation wordversion
,
Att 14 Practicum Post-Course Evaluation -Screenshot
STD Treatment Guidelines Complete Long-Term Evaluation
0920-0995, 0920-0995
Att 24 STD Tx Guidelines Complete Long-Term Evaluation -Screenshot
,
Att 23 STD Tx Guidelines Complete Long-Term Evaluation wordversion
STD Treatment Guidelines Complete Post -Course Evaluation
0920-0995, 0920-0995
Att 22 STD Tx Guidelines Complete LongTerm Evaluation - Screenshot
,
Att 21 STD Tx Guidelines Complete Post-Course Evaluation wordversion
Short Guidelines Long-Term Evaluation
0920-0995, 0920-0995
Att 27 STD Tx Guidelines Short Long-Term Evaluation wordversion
,
Att 28 STD Tx Guidelines Short Long-Term Evaluation -Screenshot
Short Guidelines Post-Course Evaluation
0920-0995, 0920-0995
Att 25 STD Tx Guidelines Short Post-Course Evaluation wordversion
,
Att 26 STD Tx Guidelines Short Post-Course Evaluation -Screenshot
Wet Mount Long-Term Evaluation
0920-0995, 0920-0995
Att 19 Wet Mount Long-Term wordversion
,
Att 20 Wet Mount Long Term Evaluation -Screenshot
wet Mount Posst-Course Evaluation
0920-0995, 0920-0995
Att 17 Wet Mount Post-Course Evaluation wordversion
,
Att 18 Wet Mount Post-Course Evaluation -Screenshot
ICR Summary 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
7,152
0
0
7,152
0
0
Annual Time Burden (Hours)
423
0
0
423
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This revision request consists of changing the title to “National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC): Evaluation” and adding 14 additional collection instruments.
Annual Cost to Federal Government:
$102,700
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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?
Uncollected
Agency Contact:
Catina Conner 404 639-4775
Common Form ICR:
No
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:
02/22/2017
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