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Federal forms, ICRs, and supporting documents

Information Collection Request

SURVEY OF CITY/COUNTY PUBLIC HEALTH AGENCIES TO DETERMINE THE DEVELOPMENT AND USE OF PROGRAM PERFORMANCE STANDARDS

ICR 198309-0920-003 · OMB 0920-0137 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110767 SURVEY OF CITY/COUNTY PUBLIC HEALTH AGENCIES TO DETERMINE THE DEVELOPMENT AND USE OF PROGRAM PERFORMANCE STANDARDS Migrated
ICR Details
0920-0137 198309-0920-003
Historical Active
HHS/CDC
SURVEY OF CITY/COUNTY PUBLIC HEALTH AGENCIES TO DETERMINE THE DEVELOPMENT AND USE OF PROGRAM PERFORMANCE STANDARDS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/25/1983
Retrieve Notice of Action (NOA) 09/22/1983
  Inventory as of this Action Requested Previously Approved
11/30/1983 11/30/1983
500 0 0
83 0 0
0 0 0
THE MAJOR OBJECTIVE OF THIS SURVEY IS TO DETERMINE THE EXTENT TO WHICH CITY/COUNTY PUBLIC HEALTH AGENCIES HAVE DEVELOPED AND USE PROGRAM PERFORMANCE STANDARDS.
None
None
No
1
IC Title Form No. Form Name
SURVEY OF CITY/COUNTY PUBLIC HEALTH AGENCIES TO DETERMINE THE DEVELOPMENT AND USE OF PROGRAM PERFORMANCE STANDARDS
  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 500 0 0 0 500 0
Annual Time Burden (Hours) 83 0 0 0 83 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
09/22/1983