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Federal forms, ICRs, and supporting documents

Information Collection Request

EVALUATION OF IMMUNIZATION LEVELS AMONG INNER-CITY PRE-SCHOOL CHILDREN IN BALTIMORE, PHILADELPHIA, AND ROCHESTER

ICR 199107-0920-003 · OMB 0920-0289 · Historical Active

Forms and Documents
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No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
111016 EVALUATION OF IMMUNIZATION LEVELS AMONG INNER-CITY PRE-SCHOOL CHILDREN IN BALTIMORE, PHILADELPHIA, AND ROCHESTER Migrated
ICR Details
0920-0289 199107-0920-003
Historical Active
HHS/CDC
EVALUATION OF IMMUNIZATION LEVELS AMONG INNER-CITY PRE-SCHOOL CHILDREN IN BALTIMORE, PHILADELPHIA, AND ROCHESTER
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/10/1991
Retrieve Notice of Action (NOA) 07/15/1991
Please see attached terms.
  Inventory as of this Action Requested Previously Approved
08/31/1992 08/31/1992
17,175 0 0
2,614 0 0
0 0 0
THIS PROJECT WILL PROVIDE CDC WITH DATA ON THE KNOWLEDGE, ATTITUDES, AND PRACTICES OF CONSUMERS OF IMMUNIZATION SERVICES. HOUSEHOLD INTERVIEWS WILL BE CONDUCTED IN BALTIMORE, MARYLAND, PHILADELPHIA PENNSYLVANIA, AND ROCHESTER, NEW YORK.
None
None
No
1
IC Title Form No. Form Name
EVALUATION OF IMMUNIZATION LEVELS AMONG INNER-CITY PRE-SCHOOL CHILDREN IN BALTIMORE, PHILADELPHIA, AND ROCHESTER
  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 17,175 0 0 17,175 0 0
Annual Time Burden (Hours) 2,614 0 0 2,614 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.
07/15/1991