Information Collection Request

CDC and ATSDR Health Message Testing System

ICR 201007-0920-001 · OMB 0920-0572 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
HMTS Change Request 06.21.2010.pdf Justification for No Material/Nonsubstantive Change Uploaded 2010-06-30 Available
REVISED_Att_9_Follow-Up_07 28 2010.doc Supplementary Document Uploaded 2010-07-29 Repair queued
REVISED_Att_7_Core_06.21.2010.doc Supplementary Document Uploaded 2010-06-28 Available
REVISED_Att_6_Introductory_06.21.2010.doc Supplementary Document Uploaded 2010-06-28 Repair queued
HMTS Instrument Matrix 06.21.2010.docx Supplementary Document Uploaded 2010-06-28 Repair queued
REVISED_Att_4_Demographics_06.21.2010.doc Supplementary Document Uploaded 2010-06-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-0572 201007-0920-001
Historical Active 200906-0920-017
HHS/CDC
CDC and ATSDR Health Message Testing System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/13/2010
Retrieve Notice of Action (NOA) 07/02/2010
Approved consistent with previous terms of clearance: If CDC chooses to use questions outside of those currently approved in the questionnaire bank, they must submit either a change request, or in the case of a new instrument, a Generic IC request, to OMB. In either case, CDC should submit a mini-supporting statement explaining why the additional questions or instruments are needed and how they will be used.
  Inventory as of this Action Requested Previously Approved
11/30/2011 11/30/2011 11/30/2011
6,000 0 6,000
3,000 0 3,000
0 0 0

CDC/NCHM is requesting approval for a change to the question bank for the Health Message Testing System (HMTS).

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

No

0

  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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,550,000
No
No
No
Uncollected
No
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.
07/02/2010