Information Collection Request

CDC and ATSDR Health Message Testing System

ICR 201012-0920-007 · OMB 0920-0572 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Revised Follow-up Questions.doc Supplementary Document Uploaded 2010-12-06 Repair queued
Revised Core Questions.doc Supplementary Document Uploaded 2010-12-06 Repair queued
Change Request for OMB 0920-0572 Justification 4.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-12-06 Available
Revised Demographic Questions.doc Supplementary Document Uploaded 2010-12-06 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-0572 201012-0920-007
Historical Active 201007-0920-001
HHS/CDC
CDC and ATSDR Health Message Testing System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/25/2011
Retrieve Notice of Action (NOA) 12/17/2010
  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
No
No
Uncollected
Carol Walker 4046394773

  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.
12/17/2010