OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

A Survey of U.S. Nursing Homes' Access to Influenza Vaccine and the Health Impact of the Vaccine Delivery Delay During the 2000-01 Influenza Season

ICR 200012-0920-005 · OMB 0920-0506 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6951 A Survey of U.S. Nursing Homes' Access to Influenza Vaccine and the Health Impact of the Vaccine Delivery Delay During the 2000-01 Influenza Season Migrated
ICR Details
0920-0506 200012-0920-005
Historical Active
HHS/CDC
A Survey of U.S. Nursing Homes' Access to Influenza Vaccine and the Health Impact of the Vaccine Delivery Delay During the 2000-01 Influenza Season
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/07/2001
Retrieve Notice of Action (NOA) 12/18/2000
Approved consistent with clarifications in CDC memos of 2-2-01 and 3-1-01. Any future survey of this nature shall allow for electronic submission by respondents.
  Inventory as of this Action Requested Previously Approved
02/28/2002 02/28/2002
1,108 0 0
573 0 0
0 0 0
A substantial delay in the delivery of 2000-01 influenza vaccine is expected. It is unknown how this dealy will affect U.S. nursing homes (NHs) access to vaccine and influenza-related health outocmes including the occurrence of influenza outbreaks. A sample of NHs in 9 states will be surveyed with a mailed survey. Some NHs in California will be contacted to participate in an additional study to validate the survey results. The results will be used to assess NHs access to vaccine, to evaluate the health impact of the delay in vaccine delivery, and to assess assess the use of other influenza infection control measures.
None
None
No
  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 1,108 0 0 1,108 0 0
Annual Time Burden (Hours) 573 0 0 573 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.
12/18/2000