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Federal forms, ICRs, and supporting documents

Information Collection Request

US-MX Border Diabetes Prevention and Control Project - Phase 2 Community Intervention Pilot Study

ICR 200411-0920-005 · OMB 0920-0489 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6927 US-MX Border Diabetes Prevention and Control Project - Phase 2 Community Intervention Pilot Study Migrated
ICR Details
0920-0489 200411-0920-005
Historical Active 200406-0920-004
HHS/CDC
US-MX Border Diabetes Prevention and Control Project - Phase 2 Community Intervention Pilot Study
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 04/28/2005
Retrieve Notice of Action (NOA) 11/30/2004
Approved consistent with the following terms of clearance (see CDC memo submitted to OMB 4/25/05): CDC shall provide OMB with a report addressing the findings of the study upon completion of the project.
  Inventory as of this Action Requested Previously Approved
04/30/2008 04/30/2008
3,960 0 0
3,960 0 0
0 0 0
This pilot intervention project goal is to reduce the burden of diabetes among persons with Type 2 diabetes living in the US-Mexico Border region.
None
None
No
1
IC Title Form No. Form Name
US-MX Border Diabetes Prevention and Control Project - Phase 2 Community Intervention Pilot Study
  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 3,960 0 0 3,960 0 0
Annual Time Burden (Hours) 3,960 0 0 3,960 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.
11/30/2004