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Federal forms, ICRs, and supporting documents

Information Collection Request

UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1985 CURRENT POPULATION SURVEY

ICR 198506-0920-001 · OMB 0920-0045 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110658 UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1985 CURRENT POPULATION SURVEY Form Migrated
ICR Details
0920-0045 198506-0920-001
Historical Active 198406-0920-001
HHS/CDC
UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1985 CURRENT POPULATION SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 07/10/1985
Retrieve Notice of Action (NOA) 06/11/1985
  Inventory as of this Action Requested Previously Approved
11/30/1986 11/30/1986 11/30/1985
58,000 0 43,500
6,785 0 5,075
0 0 0
THE DATA OBTAINED ON VACCINATION STATUS OF INDIVIDUALS AGAINST INFLUENZA AND OTHER SPECIFIED DISEASES WILL BE UTILIZED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO EVALUATE VACCINATION PROGRA IN EFFECT.
None
None
No
1
IC Title Form No. Form Name
UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1985 CURRENT POPULATION SURVEY CPS-1, CPS-524, (IM)
  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 58,000 43,500 0 14,500 0 0
Annual Time Burden (Hours) 6,785 5,075 0 1,710 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.
06/11/1985