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Federal forms, ICRs, and supporting documents

Information Collection Request

National Public Health Performance Standards Program Local Public Health Performance Assessment

ICR 200205-0920-003 · OMB 0920-0555 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7005 National Public Health Performance Standards Program Local Public Health Performance Assessment Migrated
ICR Details
0920-0555 200205-0920-003
Historical Active
HHS/CDC
National Public Health Performance Standards Program Local Public Health Performance Assessment
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/09/2002
Retrieve Notice of Action (NOA) 05/10/2002
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005
1,167 0 0
28,008 0 0
0 0 0
DPHSDR, PHPPO, CDC propose 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 services and will be used to monitor progress toward accomplishment of national infrastructure objectives included in Health People 2010 and by health officials/policy makers for quality improvement and strategic planning.
None
None
No
1
IC Title Form No. Form Name
National Public Health Performance Standards Program Local Public Health Performance Assessment
  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 1,167 0 0 1,167 0 0
Annual Time Burden (Hours) 28,008 0 0 28,008 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.
05/10/2002