Information Collection Request

[NCCDPHP] Paul Coverdell National Acute Stroke Program (2015-2020) Assessment

ICR 202209-0920-011 · OMB 0920-1233 · Received in OIRA

Forms and Documents

Document Name	Status
Form 0920-1233 PCNASP Interview Guides - Coverdell Partners Form and Instruction	Modified
Data Analyst/Program Evaluator - Telephone Interview Protocol Form and Instruction	Removed
Form 0920-1233 PCNASP Interview Guides - Coverdell Quality Improvement Specialist Form and Instruction	Modified
Grantee Program Manager - Telephone Interview Protocol Form and Instruction	Removed
Form 0920-1233 PCNASP Interview Guide - Coverdell Program Director Form and Instruction	Modified
Form 0920-1233 Coverdell- Cost Collection Tool (Program Manager) Form and Instruction	Modified
A6. IRB Determination Memorandum.pdf Supplementary Document	2022-11-01
A2-B3. Coverdell Cost Collection Tool_08-12-22.xlsx Supplementary Document	2022-11-01
PCNASP OMB Statement B_110222.docx Supporting Statement B	2022-11-02
PCNASP OMB Statement A_110122.docx Supporting Statement A	2022-11-02
A3-B1. Introductory Email about Interviews.docx Supplementary Document	2022-11-01
B4. Invitation and Reminder about Cost Data Collection_10-16-2022.docx Supplementary Document	2022-11-01
A5. 0920-1233 60 day FRN May23-2022 (002).pdf Supplementary Document	2022-11-01
A1. Public Health Service Act (42 U.S.C. 241).pdf Supplementary Document	2022-11-01

IC Document Collections

IC ID	Document Title	Status
231177	PCNASP Interview Guides - Coverdell Partners Form and Instruction	Modified
231176	Data Analyst/Program Evaluator - Telephone Interview Protocol Form and Instruction	Removed
231175	PCNASP Interview Guides - Coverdell Quality Improvement Specialist Form and Instruction	Modified
231174	Grantee Program Manager - Telephone Interview Protocol Form and Instruction	Removed
231173	PCNASP Interview Guide - Coverdell Program Director Form and Instruction	Modified
231172	Coverdell- Cost Collection Tool (Program Manager) Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1233
Type of Information Collection	Reinstatement with change of a previously approved collection
Previous ICR Reference No	201804-0920-010
Agency Tracking No	0920-1233
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31