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Federal forms, ICRs, and supporting documents

Information Collection Request

Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)

ICR 200507-0920-003 · OMB 0920-0697 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7166 Fire Fighter Fatality Investigation and Prevention Program (FFFIPP) Migrated
ICR Details
0920-0697 200507-0920-003
Historical Active
HHS/CDC
Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/10/2005
Retrieve Notice of Action (NOA) 07/14/2005
Approved consistent with the following terms of clearance: OMB approves the requested collection of information for purposes of gathering information for program planning and development. In any reports of results from this study, CDC will acknowledge the limitations of the data for inferring impact of the program. OMB encourages CDC/NIOSH to include additional mechanisms for non-response bias analysis such as telephone follow up with non-respondents. CDC should forward a description of these plans to OMB for inclusion in the public docket prior to data collection. CDC shall also report the achieved response rate and provide a summary of the results of the nonresponse bias analysis to OMB upon completion of the study.
  Inventory as of this Action Requested Previously Approved
10/31/2007 10/31/2007
678 0 0
285 0 0
0 0 0
The purpose of this project is to evaluate the Fire Fighter Fatality Investigation and Prevention Program (FFFIPP), and the effects of the FFFIPP recommendations and information products which are periodically distributed to the nations 30,000 fire departments.
None
None
No
1
IC Title Form No. Form Name
Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
  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 678 0 0 678 0 0
Annual Time Burden (Hours) 285 0 0 285 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.
07/14/2005