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Federal forms, ICRs, and supporting documents

Information Collection Request

Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing

ICR 200607-0920-001 · OMB 0920-0732 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
43621 Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing Migrated
ICR Details
0920-0732 200607-0920-001
Historical Active
HHS/CDC
Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/19/2006
Retrieve Notice of Action (NOA) 07/03/2006
Approved per CDC change memos submitted to OMB. CDC will sample potential survey respondents from the entire universe for purposes of this information collection, the burden hours and respondent numbers requested have been updated to reflect this change.
  Inventory as of this Action Requested Previously Approved
08/31/2007 06/30/2007
440 0 0
45 0 0
0 0 0
CDC's National Center for Environmental Health is proposing a pilot study to obtain information that will be used to understand the barriers Medicaid providers face concerning childhood blood lead testing and to develop effective strategies that promote blood lead testing among Medicaid providers. Randomly sampled Medicaid providers in Wisconsin will participate through a mailed questionnaire process.
None
None
No
  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 440 0 0 440 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
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.
07/03/2006