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Federal forms, ICRs, and supporting documents

Information Collection Request

Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)

ICR 200308-0920-002 · OMB 0920-0603 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7068 Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN) Migrated
ICR Details
0920-0603 200308-0920-002
Historical Active
HHS/CDC
Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/09/2003
Retrieve Notice of Action (NOA) 08/05/2003
  Inventory as of this Action Requested Previously Approved
09/30/2006 09/30/2006
84 0 0
84 0 0
0 0 0
REACH IN in a customized internet-based support system that will allow the REACH 2010 program grantees to perform remote data entry and retrieval of data on the grantees' community-level capacity building actions, intervention activities, community/system changes, and change among change agents.
None
None
No
1
IC Title Form No. Form Name
Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)
  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 84 0 0 84 0 0
Annual Time Burden (Hours) 84 0 0 84 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.
08/05/2003