OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Experimental and Theoretical Study of Early Detection and Isolation of Influenza

ICR 200801-0920-007 · OMB 0920-0777 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form No number Aim 2: Emergency Department Patients Consent Form Form New Available
Form No Number Aim 2: Consent Form Form New Repair queued
Form No Number Aim 2: Health Questionnaire Form New Repair queued
Form No Number Aim 1: Consent Form Form New Repair queued
Form No Number Aim 1: Health Questionnaire Form New Repair queued
Lindsley SS Part B.doc Supporting Statement B Uploaded 2007-12-14 Repair queued
Lindsley influenza OMB Attach 2 FRN.pdf Supplementary Document Uploaded 2007-12-14 Repair queued
Lindsley influenza OMB Attach 1 Authorizing legislation.doc Supplementary Document Uploaded 2007-12-14 Available
Lindsley influenza OMB Attach 10 IRB approval.pdf Supplementary Document Uploaded 2007-12-14 Available
Lindsley SS Part A.doc Supporting Statement A Uploaded 2007-12-14 Available
IC Document Collections
IC IDCollectionTypeStatusForm
183378 Aim 2: Emergency Department Patients Consent Form Form New
183377 Aim 2: Consent Form Form New
183376 Aim 2: Health Questionnaire Form New
183375 Aim 1: Consent Form Form New
183374 Aim 1: Health Questionnaire Form New
ICR Details
0920-0777 200801-0920-007
Historical Active
HHS/CDC
Experimental and Theoretical Study of Early Detection and Isolation of Influenza
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/23/2008
Retrieve Notice of Action (NOA) 01/11/2008
  Inventory as of this Action Requested Previously Approved
05/31/2009 12 Months From Approved
159 0 0
35 0 0
0 0 0
The purpose of this study is to gain a better understanding of the production and dissemination of aerosols containing the influenza virus. The results of this research will give scientist and health professionals greater insight into the airborne transmission of influenza and allow them to better assess the potential effectiveness of preventive measures.
PL: Pub.L. 91 - 256 20a 1 Name of Law: Occupational Safety and Health Act
  
None
Not associated with rulemaking
  72 FR 21021 04/27/2007
72 FR 73021 12/26/2007
Yes
  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 159 0 0 159 0 0
Annual Time Burden (Hours) 35 0 0 35 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$29,900
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Maryam Daneshvar 4046394604
  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.
01/11/2008