OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

IHS SURVEY OF COMMUNITY HEALTH REPRESENTATIVE TRAINING COMPLETED AND EMPLOYMENT CHARACTERISTICS

ICR 199105-0917-001 · OMB 0917-0013 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110462 IHS SURVEY OF COMMUNITY HEALTH REPRESENTATIVE TRAINING COMPLETED AND EMPLOYMENT CHARACTERISTICS Migrated
ICR Details
0917-0013 199105-0917-001
Historical Active
HHS/IHS
IHS SURVEY OF COMMUNITY HEALTH REPRESENTATIVE TRAINING COMPLETED AND EMPLOYMENT CHARACTERISTICS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/21/1991
Retrieve Notice of Action (NOA) 05/30/1991
  Inventory as of this Action Requested Previously Approved
07/31/1994 07/31/1994
1,400 0 0
350 0 0
0 0 0
AS REQUIRED BY SEC. 107 OF THE INDIAN HEALTH CARE IMPROVEMENT ACT AMENDMENTS (P.L. 100-713), INFORMATION WILL BE COLLECTED CONCERNING TRAINING RECEIVED BY COMMUNITY HEALTH REPRESENTATIVES (CHRS) SINCE OCTOBER 1, 1987. COURSES INCLUDE, BASIC CHR, DIABETES, MCH, MENTAL HEALTH, ENVIRONMENTAL HEALTH, CANCER, HYPERTENSION, AIDS, OTHER COMMUNICABLE, ALSHOLISM/SUBSTANCE ABUSE, INJURY CONTROL, HP/DP, DENTAL
None
None
No
1
IC Title Form No. Form Name
IHS SURVEY OF COMMUNITY HEALTH REPRESENTATIVE TRAINING COMPLETED AND EMPLOYMENT CHARACTERISTICS
  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 1,400 0 0 1,400 0 0
Annual Time Burden (Hours) 350 0 0 350 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.
05/30/1991