OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

State of Pennsylvania Fire and Life Safety Public Education Survey

ICR 200804-0920-001 · OMB 0920-0786 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statement B.doc Supporting Statement B Uploaded 2008-04-03 Available
Appendix G JHU Amendment cover letter.02.2008.pdf Supplementary Document Uploaded 2008-04-03 Available
Appendix F Non Determination.02.2008.pdf Supplementary Document Uploaded 2008-04-03 Available
Appendix D - 60-Day FRN.pdf Supplementary Document Uploaded 2008-04-03 Available
Appendix B Fire Department Invite Letter.doc Supplementary Document Uploaded 2008-04-03 Available
App A Legislative Authority012908.doc Supplementary Document Uploaded 2008-04-03 Repair queued
Supporting Statement A.doc Supporting Statement A Uploaded 2008-04-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
184452 Pennsylvania Fire and Life Safety Education Survey Other-WORD New
184451 Telephone Script/Followup Other-WORD New
ICR Details
0920-0786 200804-0920-001
Historical Active
HHS/CDC
State of Pennsylvania Fire and Life Safety Public Education Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/15/2008
Retrieve Notice of Action (NOA) 04/15/2008
Approved consistent with the following terms of clearance: results of the survey will not be used to generate national level estimates related to fire/fire safety.
  Inventory as of this Action Requested Previously Approved
08/31/2010 24 Months From Approved
914 0 0
163 0 0
0 0 0
The propose study will involve conducting a statewide fire and life safety survey of Pennsylvania fire departments. Pennsylvania experiences a substantial burden of unintentional residential fire deaths, in 2004. The age-adusted residental fire death rate for Pennsylvania was 1:1 per 100,000 compared with anational rate of 0.96 (CDC, 2005).
US Code: 42 USC 241 Name of Law: Public Health Service Act5
  
None
Not associated with rulemaking
  72 FR 43642 08/06/2007
73 FR 18286 04/03/2008
No
2
IC Title Form No. Form Name
Telephone Script/Followup
Pennsylvania Fire and Life Safety Education Survey
  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 914 0 0 914 0 0
Annual Time Burden (Hours) 163 0 0 163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$183,974
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Thelma Sims 4046394771
  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.
04/15/2008