OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Health Assessment of Persian Gulf War Veterans from Iowa: Followup on Asthma

ICR 199711-0920-002 · OMB 0920-0425 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6836 Health Assessment of Persian Gulf War Veterans from Iowa: Followup on Asthma Migrated
ICR Details
0920-0425 199711-0920-002
Historical Active
HHS/CDC
Health Assessment of Persian Gulf War Veterans from Iowa: Followup on Asthma
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/02/1998
Retrieve Notice of Action (NOA) 11/05/1997
See attachment for OMB action dated 1/2/98 . . .
  Inventory as of this Action Requested Previously Approved
11/30/1998 11/30/1998
200 0 0
947 0 0
0 0 0
The Centers for Disease Control and Prevention, in collaboration with the Iowa Department of Public Health and the University of Iowa, recently conducted a telephone survey of symptoms and illnesses of military personnel from Iowa. This telephone survey documented that Persian Gulf War (PGW) veterans from Iowa are reporting more medical and psychiatric conditions than their military peers who were not deployed to the Gulf. This current application requests approval to collect additional data to validate health outcomes reported by participants of the telephone survey and will focus on asthma.
None
None
No
1
IC Title Form No. Form Name
Health Assessment of Persian Gulf War Veterans from Iowa: Followup on Asthma
  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 200 0 0 200 0 0
Annual Time Burden (Hours) 947 0 0 947 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
11/05/1997