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Federal forms, ICRs, and supporting documents

Information Collection Request

Year 2000 Readiness Assessment of Public Health Within the States

ICR 199911-0920-002 · OMB 0920-0440 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6859 Year 2000 Readiness Assessment of Public Health Within the States Migrated
ICR Details
0920-0440 199911-0920-002
Historical Active 199811-0920-003
HHS/CDC
Year 2000 Readiness Assessment of Public Health Within the States
Reinstatement without change of a previously approved collection   No
Emergency 12/01/1999
Approved without change 12/23/1999
Retrieve Notice of Action (NOA) 11/19/1999
This collection is approved provided that CDC add the OMB number to the top of the form.
  Inventory as of this Action Requested Previously Approved
05/31/2000 05/31/2000
57 0 0
43 0 0
0 0 0
This assessment of State and territorial health departments is being conducted in concert with the President's Council on Year 2000 Conversion Workgroup on the Healthcare Sector. Its purpose is to determine the readiness of public health services in State and local governments regarding year 2000 compliance and contingency planning.
None
None
No
1
IC Title Form No. Form Name
Year 2000 Readiness Assessment of Public Health Within the States
  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 57 0 0 57 0 0
Annual Time Burden (Hours) 43 0 0 43 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.
11/19/1999