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Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Illness and Injury Among Backcountry Users in Yellowstone National Park

ICR 200604-0920-002 · OMB 0920-0727 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
43617 Survey of Illness and Injury Among Backcountry Users in Yellowstone National Park Migrated
ICR Details
0920-0727 200604-0920-002
Historical Active
HHS/CDC
Survey of Illness and Injury Among Backcountry Users in Yellowstone National Park
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/19/2006
Retrieve Notice of Action (NOA) 04/25/2006
Approved consistent with CDC memos submitted to OMB outlining revisions. OMB approves the only the pilot phase of the study at this time. Upon completion of the initial pilot CDC shall submit a separate request for OMB review for an expanded study incorporating lessons learned from the pilot phase. OMB will waive the 60 day Federal Fegister notice for resubmission of the full study, however, CDC will publish a 30 day notice concurrent with resubmission and CDC will include a discussion of the results of the pilot study with the final survey.
  Inventory as of this Action Requested Previously Approved
06/30/2007 06/30/2007
5,276 0 0
1,803 0 0
0 0 0
CDC is collaborating with the National Park Service to conduct a public health survey designed to gather informaion to improve recommendations for safe and healthy backcountry travel. The survey will be conducted among Yellowstone National Park hikers regarding illness and injuries experienced while in the back country.
None
None
No
1
IC Title Form No. Form Name
Survey of Illness and Injury Among Backcountry Users in Yellowstone National Park
  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 5,276 0 0 5,276 0 0
Annual Time Burden (Hours) 1,803 0 0 1,803 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.
04/25/2006