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Federal forms, ICRs, and supporting documents

Information Collection Request

IHS REPLICATION, INTERNATIONAL COLLABORATIVE STUDY OF ORAL HEALTH OUTCOMES (ICS-II)

ICR 198912-0917-002 · OMB 0917-0012 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110461 IHS REPLICATION, INTERNATIONAL COLLABORATIVE STUDY OF ORAL HEALTH OUTCOMES (ICS-II) Migrated
ICR Details
0917-0012 198912-0917-002
Historical Active
HHS/IHS
IHS REPLICATION, INTERNATIONAL COLLABORATIVE STUDY OF ORAL HEALTH OUTCOMES (ICS-II)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/13/1990
Retrieve Notice of Action (NOA) 12/20/1989
  Inventory as of this Action Requested Previously Approved
02/28/1993 02/28/1993
2,800 0 0
2,467 0 0
0 0 0
IHS WILL PARTICIPATE IN THE ICS-II TO DETERMINE THE RELATIVE CONTRIBUTIONS OF ENVIRONMENTAL, DELIVERY SYSTEM AND PERSONAL LIFESTYLE FACTORS TO THE ORAL HEALTH STATUS OF NATIVE AMERICANS AND TO PROVIDE POLICY MAKERS AND RESEARCHERS INFORMATION THAT MAY BE USED TO IMPROVE ORAL HEALTH IN THE IHS SERVICE AREA.
None
None
No
1
IC Title Form No. Form Name
IHS REPLICATION, INTERNATIONAL COLLABORATIVE STUDY OF ORAL HEALTH OUTCOMES (ICS-II)
  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 2,800 0 0 2,800 0 0
Annual Time Burden (Hours) 2,467 0 0 2,467 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.
12/20/1989