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Federal forms, ICRs, and supporting documents

Information Collection Request

Public Health Infrastructure Surveillance and Performance Monitoring Network

ICR 200005-0920-003 · OMB 0920-0477 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6910 Public Health Infrastructure Surveillance and Performance Monitoring Network Migrated
ICR Details
0920-0477 200005-0920-003
Historical Active
HHS/CDC
Public Health Infrastructure Surveillance and Performance Monitoring Network
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/14/2000
Retrieve Notice of Action (NOA) 05/18/2000
OMB approves this information collection, as amended on July 12 and July 14 of 2000, for one year to predict the feasibility of the study on a national scale, and to assess the utility of the data collected.
  Inventory as of this Action Requested Previously Approved
07/31/2001 07/31/2001
320 0 0
1,920 0 0
0 0 0
DPHS, PHPPO, CDC proposes to collect, analyze, and disseminate data on the public health infrastructure and performance of local health jurisdictions. The data will be based on the framework of the ten essential public health services and will be used to monitor progress towards accomplishments of national infrastructure objectives included in Healthy People 2010 and by health officials/policy makers for quality improvement and strategic planning. Final processes and data protocols will be based on the information gathered during field testing.
None
None
No
1
IC Title Form No. Form Name
Public Health Infrastructure Surveillance and Performance Monitoring Network
  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 320 0 0 320 0 0
Annual Time Burden (Hours) 1,920 0 0 1,920 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.
05/18/2000