OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Research to Reduce Time to Treatment for Heart Attack/Myocardial Infarction for Rural American Indians/Alaska Natives (AI/AN)

ICR 200807-0920-005 · OMB 0920-0797 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Att 4. IRB and Tribal Approvals.pdf Supplementary Document Uploaded 2008-07-16 Available
Att 3. Advisory Work Group.doc Supplementary Document Uploaded 2008-07-16 Available
Att 2B. Summary of Public Comments.doc Supplementary Document Uploaded 2008-07-16 Available
Att 2A. 0920-07BE 60-day FRN 7.31.07.pdf Supplementary Document Uploaded 2008-07-16 Repair queued
Attachment 1. 42 USC 241.doc Supplementary Document Uploaded 2008-07-16 Available
Att 6B. Supplement for Discussion Guide No MI Group.doc Supplementary Document Uploaded 2008-07-16 Available
Att 5B. Supplement for Discussion Guide MI Group.doc Supplementary Document Uploaded 2008-07-16 Available
Att 8B. Consent for Individuals Interview.doc Supplementary Document Uploaded 2008-07-16 Available
Att 7B. Consent Form for Community Leaders Interview.doc Supplementary Document Uploaded 2008-07-16 Available
Att 9B. Consent Form for Medical Providers Interview.doc Supplementary Document Uploaded 2008-07-14 Available
SS Part A 0920-07BE 07 14 08.doc Supporting Statement A Uploaded 2008-07-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
185919 Focus Group with AI/AN Community Members with no Prior History of MI Other-Focus Group Discussion Guide for Community Members with no New
185918 Focus Group with AI/AN Community Members with Prior MI Other-Focus Group Discussion Guide for Prior MI New
185917 Interview with Individual Tribal Community Members Other-Interview Guide for Individuals New
185916 Interview with Community Leaders Other-Interview Guide for Community Leaders New
185915 Interview with Medical Care Providers Other-Interview Guide New
185914 Interest Form Other-Interest Form New
ICR Details
0920-0797 200807-0920-005
Historical Active
HHS/CDC
Research to Reduce Time to Treatment for Heart Attack/Myocardial Infarction for Rural American Indians/Alaska Natives (AI/AN)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/08/2009
Retrieve Notice of Action (NOA) 07/29/2008
  Inventory as of this Action Requested Previously Approved
01/31/2010 12 Months From Approved
544 0 0
231 0 0
0 0 0
CDC proposes to conduct a study to address gaps in knowledge about delays in time to treatment for heart attack/myocardial infarction (MI)in American Indian/Alaska Native communities. Information will be used to develop culturally appropriate health messages that will promote recognition of MI symptoms and the decision to seek prompt medical attention.
US Code: 42 USC 241 Name of Law: Public Health Service Act - Research and Investigation
  
None
Not associated with rulemaking
  72 FR 41757 07/31/2007
73 FR 43240 07/24/2008
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 544 0 0 0 544 0
Annual Time Burden (Hours) 231 0 0 0 231 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$108,900
No
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.
07/29/2008