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Federal forms, ICRs, and supporting documents

Information Collection Request

State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (Epi-X)

ICR 200402-0920-005 · OMB 0920-0636 · Historical Active

Forms and Documents
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IC IDCollectionTypeStatusForm
7103 State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (Epi-X) Migrated
ICR Details
0920-0636 200402-0920-005
Historical Active
HHS/CDC
State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (Epi-X)
New collection (Request for a new OMB Control Number)   No
Emergency 02/13/2004
Approved without change 02/20/2004
Retrieve Notice of Action (NOA) 02/10/2004
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004
500 0 0
125 0 0
0 0 0
The potential severity of the current influenza season requires states to become proficient in the use of Epi-X, particularly the emergency notification feature. This data collection will evaluate the functionality and usability of this feature.
None
None
No
1
IC Title Form No. Form Name
State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (Epi-X)
  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 500 0 0 500 0 0
Annual Time Burden (Hours) 125 0 0 125 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.
02/10/2004