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Federal forms, ICRs, and supporting documents

Information Collection Request

Health Communication Planning, Implementation, and Evaluation for People with Disabilities

ICR 200511-0920-003 · OMB 0920-0710 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7179 Health Communication Planning, Implementation, and Evaluation for People with Disabilities Migrated
ICR Details
0920-0710 200511-0920-003
Historical Active
HHS/CDC
Health Communication Planning, Implementation, and Evaluation for People with Disabilities
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/06/2006
Retrieve Notice of Action (NOA) 11/02/2005
Approved consistent with CDC memo submitted to OMB 02/02/06.
  Inventory as of this Action Requested Previously Approved
01/31/2007 01/31/2007
150 0 0
45 0 0
0 0 0
The purpose of the E-mail survey is to collect qualitative and quantitative data from health care providers, human services providers, and consumer advocates to learn their impressions of state-developed health promotion materials for people with disabilities. The E-mail survey will assess the opinions of intermediaries who impact whether and how the materials get from the states to the consumers. The survey data will be analyzed to evaluate awareness of state-developed materials among professionals using the materials, assess their satisfaction and suggestion for improvements of the materials.
None
None
No
1
IC Title Form No. Form Name
Health Communication Planning, Implementation, and Evaluation for People with Disabilities
  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 150 0 0 150 0 0
Annual Time Burden (Hours) 45 0 0 45 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.
11/02/2005