View Information Collection Request (ICR) Package

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: 0920-1233	ICR Reference No: 202209-0920-011
Status: Historical Active	Previous ICR Reference No: 201804-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1233
Title: [NCCDPHP] Paul Coverdell National Acute Stroke Program (2015-2020) Assessment
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: 04/05/2023
	Date Received in OIRA: 11/28/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	24 Months From Approved
Responses	91	0	0
Time Burden (Hours)	117	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	91	85	6
Annual Time Burden (Hours)	117	111	6
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: CDC will implement the same two types of data collection as before: 1) program implementation cost data collection from recipients using a cost collection tool. The cost study will include the 13 respondents (once a year) for a total estimated burden to respondents of 52.0 hours (annualized burden of 26.0 hours). The telephone interviews will include 78 respondents (once a year) for a total estimated burden to respondents of 156 hours (annualized burden of 78 hours). Other changes include minor edits to the cost data collection tool and interview protocols to align with the PCNASP goals and strategies.

Annual Cost to Federal Government: $90,310

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. No

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]? 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? No

Agency Contact: Thelma Sims 4046394771

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.