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Federal forms, ICRs, and supporting documents

Information Collection Request

A Brief Intervention for Alcohol Problems in an Emergency Department

ICR 199609-0920-001 · OMB 0920-0399 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6802 A Brief Intervention for Alcohol Problems in an Emergency Department Migrated
ICR Details
0920-0399 199609-0920-001
Historical Active
HHS/CDC
A Brief Intervention for Alcohol Problems in an Emergency Department
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/20/1996
Retrieve Notice of Action (NOA) 09/17/1996
OMB approves this pilot test of the feasibility of implementing screening and brief intervention (SBI) in an emergency dept. (ED) setting based on the correspondences of November 5 and 15, 1996. However, OMB's approval is contingent upon CDC continuing to to coordinate its SBI research with NIH/NIAAA, as well as other relevant research. Should CDC eventually submit a study of SBI's efficacy in the ED to OMB, the agency will report on all of its coordination activities, including identification of changes resulting from coordination (e.g., elimination of duplication with other research efforts and sharing of relevant findings).
  Inventory as of this Action Requested Previously Approved
10/31/1997 10/31/1997
1,700 0 0
440 0 0
0 0 0
Screening and brief intervention for alcohol problems (SBI) is an inexpensive secondary prevention strategy that can be offered in health care settings. Because the emergency department (ED) frequently serves persons with alcohol problems, it is a promising venue for SBI. However, SBI has not been studied in the ED and much remains to be learned about optimizing SBI in a setting where staff and resources are often overextended. CDC proposes to test the feasibility of implementing SBI in a public hospital ED in preparation for a trial of its efficacy.
None
None
No
1
IC Title Form No. Form Name
A Brief Intervention for Alcohol Problems in an Emergency Department
  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 1,700 0 0 1,700 0 0
Annual Time Burden (Hours) 440 0 0 440 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.
09/17/1996