OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

DEVELOPMENT OF AN EVALUATION OF THE CDC STD PREVENTION/TRAINING CLINICS PROGRAM

ICR 198303-0920-001 · OMB 0920-0130 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110748 DEVELOPMENT OF AN EVALUATION OF THE CDC STD PREVENTION/TRAINING CLINICS PROGRAM Migrated
ICR Details
0920-0130 198303-0920-001
Historical Active
HHS/CDC
DEVELOPMENT OF AN EVALUATION OF THE CDC STD PREVENTION/TRAINING CLINICS PROGRAM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/24/1983
Retrieve Notice of Action (NOA) 03/30/1983
  Inventory as of this Action Requested Previously Approved
06/30/1984 06/30/1984
1,306 0 0
1,495 0 0
0 0 0
SURVEY INSTRUMENTS WILL BE USED TO ASSESS THE IMPACT OF THE CDC STD PREVENTION/TRAINING CLINIC PROGRAM ON (1) TRAINEE CLINICIANS' KNOWLEDGE, ATTITUDE, AND PRACTICE AND (2) THE OPERATIONS AND QUALITY OF CARE IN THE TRAINEES' HOME CLINICS.
None
None
No
1
IC Title Form No. Form Name
DEVELOPMENT OF AN EVALUATION OF THE CDC STD PREVENTION/TRAINING CLINICS PROGRAM
  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 1,306 0 0 1,306 0 0
Annual Time Burden (Hours) 1,495 0 0 1,495 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/30/1983