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Federal forms, ICRs, and supporting documents

Information Collection Request

Healthcare Provider Survey: Knowledge, Attitudes and Practies about Gential Human Papillonavirus (HPV) Infection and Related Conditions

ICR 200312-0920-010 · OMB 0920-0629 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7096 Healthcare Provider Survey: Knowledge, Attitudes and Practies about Gential Human Papillonavirus (HPV) Infection and Related Conditions Migrated
ICR Details
0920-0629 200312-0920-010
Historical Active
HHS/CDC
Healthcare Provider Survey: Knowledge, Attitudes and Practies about Gential Human Papillonavirus (HPV) Infection and Related Conditions
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/15/2004
Retrieve Notice of Action (NOA) 12/29/2003
Approved consistent with changes in CDC memo submitted to OMB on 03/12/04.
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005
5,564 0 0
2,282 0 0
0 0 0
CDC proposes to collect information to assess health care providers' knowledge, attitudes, and practices about genital human papillonavirus and related conditions.
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 5,564 0 0 5,564 0 0
Annual Time Burden (Hours) 2,282 0 0 2,282 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.
12/29/2003