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:
0920-0909
ICR Reference No:
201711-0920-011
Status:
Historical Active
Previous ICR Reference No:
201409-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0909
Title:
CDC Diabetes Prevention Recognition Program (DPRP)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
02/20/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/28/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2021
36 Months From Approved
02/28/2018
Responses
4,088
0
1,550
Time Burden (Hours)
7,676
0
1,550
Cost Burden (Dollars)
0
0
0
Abstract:
CDC established a national diabetes prevention program and criteria for recognizing organizations that deliver evidence-based diabetes prevention programs to individuals with pre-diabetes. Information will be collected to monitor, evaluate and provide technical assistance to organizations that apply for recognition through the Diabetes Prevention Recognition Program. CDC is increasing the total estimated annualized number of applicants to 500. The distribution of those applicants is predicted to be 70% (350) from the private sector and 30% (150) from the public sector, based on current DPRP data and projections. This change is based on an anticipated increase in the number of healthcare organizations applying for CDC recognition to deliver the lifestyle change program due to the MDPP Expanded Model and its promotion by CMS and the American Medical Association in healthcare settings.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: Public Health Service Act
PL:
Pub.L. 111 - 148 399-V
Name of Law: Patient Protection and Affordable Care 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:
82 FR 32549
07/14/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 56026
11/27/2017
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Application data for private-sector organizations
0920-0909
DPRP Application Form
Application data for public-sector organizations
0920-0909
DPRP Application Form
Evaluation data for private-sector organizations
0920-0909
Evaluation Data Form
Evaluation data for public-sector organizations
0920-0909
Evaluation Data Form
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
4,088
1,550
0
2,538
0
0
Annual Time Burden (Hours)
7,676
1,550
0
6,126
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:
Submission of 0920-0909 is a Revision. CDC is increasing the total estimated annualized number of applicants.
Annual Cost to Federal Government:
$2,031,300
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
11/28/2017
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