OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

AMERICAN ASSOCIATION OF POISON CONTROL CENTERS PRESCRIPTION DRUG INGESTION SURVEY

ICR 198507-3041-003 · OMB 3041-0067 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
149165 AMERICAN ASSOCIATION OF POISON CONTROL CENTERS PRESCRIPTION DRUG INGESTION SURVEY Migrated
ICR Details
3041-0067 198507-3041-003
Historical Active
CPSC
AMERICAN ASSOCIATION OF POISON CONTROL CENTERS PRESCRIPTION DRUG INGESTION SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/29/1985
Retrieve Notice of Action (NOA) 07/01/1985
  Inventory as of this Action Requested Previously Approved
07/31/1988 07/31/1988
2,000 0 0
240 0 0
0 0 0
THIS STUDY WILL BE CONDUCTED BY POISON CONTROL CENTERS REPORTING TO TH AMERICAN ASSOCIATION OF POISON CONTROL CENTERS. SURVEY PARTICIPANTS WILL BE INDIVIDUALS REPORTING ACCIDENTAL PRESCRIPTION DRUG INGESTION INVOLVING CHILDREN UNDER 5 YEARS OLD. THE DATA FROM THIS STUDY ARE NEEDED TO CHARACTERIZE THE CIRCUMSTANCES SURROUNDING INGESTIONS IN ORDER TO DEVELOP EFFECTIVE EDUCATIONAL PROGRAMS AND TO TARGET THE PROGRAMS TO THE POPULATIONS AT GREATEST RISK.
None
None
No
1
IC Title Form No. Form Name
AMERICAN ASSOCIATION OF POISON CONTROL CENTERS PRESCRIPTION DRUG INGESTION SURVEY
  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 2,000 0 0 0 2,000 0
Annual Time Burden (Hours) 240 0 0 0 240 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.
07/01/1985