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Federal forms, ICRs, and supporting documents

Information Collection Request

Survey to Assess Hepatitis B Vaccination Coverage Among U.S. Health-Care Workers

ICR 200207-0920-004 · OMB 0920-0563 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7016 Survey to Assess Hepatitis B Vaccination Coverage Among U.S. Health-Care Workers Migrated
ICR Details
0920-0563 200207-0920-004
Historical Active
HHS/CDC
Survey to Assess Hepatitis B Vaccination Coverage Among U.S. Health-Care Workers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/17/2002
Retrieve Notice of Action (NOA) 07/23/2002
Approved consistent with the change in sampling methodology for paper-based medical records e-mailed to OMB on 9/12/02.
  Inventory as of this Action Requested Previously Approved
11/30/2003 11/30/2003
11,050 0 0
2,869 0 0
0 0 0
Since 1982, CDC has recommended hepatitis B vaccination of health-care workers who perform tasks that place them at risk for exposure to blood or other potentially infectitous materials that may contain hepatitis B virus. Increasing national hepatitis B vaccination coverage among health-care workers to 98% has been included as an objective in the Healthy People 2010 initiative published by the National Center for Health Statistics. The most recent survey of vaccination coverage was in 1994-95. That survey indicated only 65% of U.S. health-care workers had received the hepatitis B vaccine. The..
None
None
No
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IC Title Form No. Form Name
Survey to Assess Hepatitis B Vaccination Coverage Among U.S. Health-Care Workers
  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 11,050 0 0 11,050 0 0
Annual Time Burden (Hours) 2,869 0 0 2,869 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.
07/23/2002