OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

The Childhood Lead Poisoning Prevention Program Quarterly Report

ICR 200401-0920-005 · OMB 0920-0282 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6735 The Childhood Lead Poisoning Prevention Program Quarterly Report Migrated
ICR Details
0920-0282 200401-0920-005
Historical Active 200205-0920-007
HHS/CDC
The Childhood Lead Poisoning Prevention Program Quarterly Report
Extension without change of a currently approved collection   No
Regular
Approved with change 04/22/2004
Retrieve Notice of Action (NOA) 01/28/2004
CDC will reevaluate the frequency of data collection following reauthorization of the Public Health Service Act.
  Inventory as of this Action Requested Previously Approved
04/30/2007 04/30/2007 04/30/2004
168 0 240
336 0 480
0 0 0
The Childhood Lead Poisoning Prevention Program Quarterly Report collects information on a quarterly basis regarding childhood lead screening and follow-up activities conducted in jurisdicitons served by 42 recipients of the Centers for Disease Control and Prevention (CDC) childhood lead poisoning prevention grants and cooperative agreements. These quarterly reports are required by Congressional authorization.
None
None
No
1
IC Title Form No. Form Name
The Childhood Lead Poisoning Prevention Program Quarterly Report
  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 168 240 0 -72 0 0
Annual Time Burden (Hours) 336 480 0 -144 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
01/28/2004