OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Assessment of State Early Hearing Detection and Intervention Programs (EHDI); A program Operations Evaluation

ICR 200509-0920-006 · OMB 0920-0704 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7173 Assessment of State Early Hearing Detection and Intervention Programs (EHDI); A program Operations Evaluation Migrated
ICR Details
0920-0704 200509-0920-006
Historical Active
HHS/CDC
Assessment of State Early Hearing Detection and Intervention Programs (EHDI); A program Operations Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/21/2005
Retrieve Notice of Action (NOA) 09/20/2005
Approved consistent with CDC memo submitted to OMB 12/20/05 revising the proposed incentive structure.
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006
9,016 0 0
940 0 0
0 0 0
All states have implemented early hearing detection and interven intervention (EHDI) programs. Current data indicates that nearly 40 percent of infants who do not pass the intial hearing screening receive further evaluation and as many as one-third of newborns identified with hearing loss are not enrolled in inter- vention services. This study will examine the barriers and factors contributing to loss or delay in follow-up. The informa- tion obtained from this project will help all stakeholders to improve the EDHI process.
None
None
No
1
IC Title Form No. Form Name
Assessment of State Early Hearing Detection and Intervention Programs (EHDI); A program Operations Evaluation
  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 9,016 0 0 9,016 0 0
Annual Time Burden (Hours) 940 0 0 940 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.
09/20/2005