Monitoring And Reporting System For Community Transformation Grant Awardees

Forms and Documents

Document Name	Status
CTG CDMIS ICR SS-Part B_03 22 2012.docx Supporting Statement B	2012-07-11
Attachment 2b. Summary of Public Comments.doc Supplementary Document	2012-07-11
Attachment 1b. PL 111-148 Section 4201 CTG.docx Supplementary Document	2012-07-11
Attachment 1a. Public Health Service Act.doc Supplementary Document	2012-07-11
Attachment 3. CTG Awardees.docx Supplementary Document	2012-07-11
CTG CDMIS ICR SS-Part A_04 23 2012.docx Supporting Statement A	2012-07-11

IC Document Collections

IC ID	Document Title	Status
203266	Private Sector CTG Awardees - Semiannual Reporting Instruction	New
203265	State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting Instruction	New

ICR Details

OMB Control No: 0920-0946	ICR Reference No: 201207-0920-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Monitoring And Reporting System For Community Transformation Grant Awardees
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 with change	Conclusion Date: 08/06/2012
	Date Received in OIRA: 07/13/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved
Responses	136	0	0
Time Burden (Hours)	408	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC Plans to collection information from awardees funder under the community transformation grant (CTG) program. Awardees will report progress and activity information to CDC unsing an electronic Management information system(MIS). Reports are due twice per year but updates can be enetered at any time. OMB approval is requested for three years.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: USC
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 76165	12/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 92	05/11/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting
Private Sector CTG Awardees - Semiannual Reporting

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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	136	0	0	0	136	0
Annual Time Burden (Hours)	408	0	0	0	408	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $178,613

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? Yes

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

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Common Form ICR:  No

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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: 07/13/2012

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