View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0920-1193
ICR Reference No:
201703-0920-006
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-17AW
Title:
Assessing the Impact of Targeted Training and Technical Assistance Efforts on the Implementation of Comprehensive Cancer Control
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/14/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/02/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2019
24 Months From Approved
Responses
815
0
0
Time Burden (Hours)
231
0
0
Cost Burden (Dollars)
12,451
0
0
Abstract:
The goal of this information collection is to document the implementation of training and technical assistance (TTA) administered by 10 DP13-1314 and DP13-1315 awardees to National Comprehensive Cancer Control Program (NCCCP) and National State-based Tobacco Control (NSBT) grantees and to explore TTA implemented is associated with grant goals. CDC will use findings to monitor TTA and inform the development of future TTA models to effectively support NCCCP and NSBT grantees.
Authorizing Statute(s):
US Code:
42 USC 241
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 73110
10/24/2016
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 20342
05/01/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
Case Study Interview of DP13-1314 Evaluator
N/A
Case Study Interview Guide for DP13-1314 Evaluators
Case Study Interview of DP13-1314 Partner
N/A
Case Study Interview Guide for DP13-1314 Partners
Case Study Interview of DP13-1315 Evaluator
N/A
Case Study Interview Guide for DP13-1315 Evaluators
Case Study Interview of DP13-1315 Partner
N/A
Case Study Interview Guide for DP13-1315 Partners
Follow-up Case Study Interview of DP13-1314 Program Director or Manager
N/A
Follow-up Case Study Interview Guide for DP13-1314 Program Director or Manager
Follow-up Case Study Interview of DP13-1315 Program Director or Manager
N/A
Follow-up Case Study Interview Guide for DP13-1315 Program Director or Manager
In-depth Interview with Selected Respondents to the Web-based Survey
N/A
In-Depth Interview Guide
Initial Case Study Interview of DP13-1314 Program Director or Manager
N/A
Case Study Interview Guide for DP13-1314 Program Director or Manager
Initial Case Study Interview of DP13-1315 Program Director or Manager
N/A
Initial Case Study Interview Guide for DP13-1315 Program Director or Manager
Web-based Survey of NCCCP and NSBT Staff and Partners
N/A, N/A
Screen Shots of the Web-based Survey (with multiple options)
,
Screen Shots of the Web-based Survey (with single option)
Worksheet for Identifying Case Study Interviewees
N/A
Worksheet for Identifying Case Study Interviewees
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
815
0
0
815
0
0
Annual Time Burden (Hours)
231
0
0
231
0
0
Annual Cost Burden (Dollars)
12,451
0
0
12,451
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 is a new information collection.
Annual Cost to Federal Government:
$253,976
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:
Renita Macaluso 770 488-6458 arp5@cdc.gov
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:
05/02/2017
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.