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Federal forms, ICRs, and supporting documents

Information Collection Request

EPIDEMIOLOGY OF FATIGUING ILLNESS IN SAN FRANCISCO: A POPULATION-BASED STUDY

ICR 199309-0920-003 · OMB 0920-0336 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
111073 EPIDEMIOLOGY OF FATIGUING ILLNESS IN SAN FRANCISCO: A POPULATION-BASED STUDY Migrated
ICR Details
0920-0336 199309-0920-003
Historical Active
HHS/CDC
EPIDEMIOLOGY OF FATIGUING ILLNESS IN SAN FRANCISCO: A POPULATION-BASED STUDY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/22/1993
Retrieve Notice of Action (NOA) 09/29/1993
We have approved this information collection with the following condition intended to improve the practical utility of the instrument: CDC should consider the addition of more health conditions which are often associated with chronic fatigue, such as eating disorders and dr and alcohol abuse.
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994
3,848 0 0
798 0 0
0 0 0
THE PURPOSE OF THE STUDY IS TO GENERATE POPULATION-BASED INFORMATION ABOUT THE PREVALENCE OF SELF-REPORTED FATIGUING ILLNESSES IN AN ETHNICALLY DIVERSE URBAN POPULATION. THE STUDY WILL ALSO PROVIDE BASI INFORMATION ABOUT THE EXTENT TO WHICH CRITERIA NOW INCLUDED IN THE CAS DEFINITION OF CFS ARE USEFUL IN IDENTIFYING A UNIQUE SYNDROME ASSOCIAT WITH FATIGUE.
None
None
No
1
IC Title Form No. Form Name
EPIDEMIOLOGY OF FATIGUING ILLNESS IN SAN FRANCISCO: A POPULATION-BASED STUDY
  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 3,848 0 0 3,848 0 0
Annual Time Burden (Hours) 798 0 0 798 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.
09/29/1993