OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

An Evaluation of the Use and Effectiveness of Internet SAMMEC

ICR 200507-0920-006 · OMB 0920-0624 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7091 An Evaluation of the Use and Effectiveness of Internet SAMMEC Migrated
ICR Details
0920-0624 200507-0920-006
Historical Active 200312-0920-004
HHS/CDC
An Evaluation of the Use and Effectiveness of Internet SAMMEC
Revision of a currently approved collection   No
Regular
Approved without change 10/06/2005
Retrieve Notice of Action (NOA) 07/21/2005
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 10/31/2005
667 0 1,000
167 0 250
0 0 0
The internet SAMMEC (Smoking-Attributable Mortality, Morbidity, and Economic Cost) software, released in April 2002, contains two computer programs to be used to estimate the adverse health out comes and disease impact of smoking on adults and infants. More than 17000 people have registered to use the software. The purpose of this survey is to evaluate the use and effectiveness of the software and identify ways to improve the system. Respondents will be internet SAMMEC users and they will be recurited to participate through on-line application after obtaining their informed consent.
None
None
No
1
IC Title Form No. Form Name
An Evaluation of the Use and Effectiveness of Internet SAMMEC
  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 667 1,000 0 -333 0 0
Annual Time Burden (Hours) 167 250 0 -83 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
07/21/2005