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Federal forms, ICRs, and supporting documents

Information Collection Request

The Evaluation of the Smoke Alarm Installation and Fire Safety Education (SAIFE) Program

ICR 200605-0920-003 · OMB 0920-0730 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
43619 The Evaluation of the Smoke Alarm Installation and Fire Safety Education (SAIFE) Program Migrated
ICR Details
0920-0730 200605-0920-003
Historical Active
HHS/CDC
The Evaluation of the Smoke Alarm Installation and Fire Safety Education (SAIFE) Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/19/2006
Retrieve Notice of Action (NOA) 05/15/2006
Approved consistent with changes outlined in CDC memos submitted to OMB. With respect to the incentive associated with the 6 month follow up CDC has agreed to 1. provide the incentive up front unconditionally and 2. to change the amount of the proposed incentive from $10 to $5.
  Inventory as of this Action Requested Previously Approved
09/30/2009 36 Months From Approved
1,181 0 0
251 0 0
0 0 0
The purpose of this evaluation project is to identify and characterize the effectiveness of the SAIFE program in improving knowledge about and adherence to fire safety principles. This will be done through process and outcome evaluations geared toward charaterizing this means of delivery of the intervention and any effect it may have on outcomes. This data collection will determine the degree in which the SAIFE program improves knowledge, attitudes, beliefs and practices about fire and burn safety.
None
None
No
1
IC Title Form No. Form Name
The Evaluation of the Smoke Alarm Installation and Fire Safety Education (SAIFE) Program
  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 1,181 0 0 1,181 0 0
Annual Time Burden (Hours) 251 0 0 251 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
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.
05/15/2006