OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Determining Causes of Sudden, Unexpected Infant Death: A National Survey of U.S. Medical Examiners and Coroners

ICR 201308-0920-011 · OMB 0920-0999 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
SS Part B.docx Supporting Statement B Uploaded 2013-08-27 Available
Att 6_Illustrative Table Shells.DOCX Supplementary Document Uploaded 2013-08-27 Repair queued
Att 5_Battelle IRB Approval Letter.pdf Supplementary Document Uploaded 2013-08-27 Available
Att 2b_Summary of Public Comments.doc Supplementary Document Uploaded 2013-08-27 Available
Att 2a_60-day FRN.PDF Supplementary Document Uploaded 2013-08-27 Available
Att 1_Authorizing Legislation.docx Supplementary Document Uploaded 2013-08-27 Available
Att 4d_Reminder Call.docx Supplementary Document Uploaded 2013-08-27 Available
Att 4c_Reminder_Thank You Postcard.docx Supplementary Document Uploaded 2013-08-27 Repair queued
Att 4b_Survey Cover Letter.docx Supplementary Document Uploaded 2013-08-27 Repair queued
SS_Part_A_11 01 2013.docx Supporting Statement A Uploaded 2013-11-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
208415 Screener Other-WORD New
208414 National Survey of Coroners Other-WORD New
208413 National Survey of Medical Examiners Other-WORD New
ICR Details
0920-0999 201308-0920-011
Historical Active
HHS/CDC 20419
Determining Causes of Sudden, Unexpected Infant Death: A National Survey of U.S. Medical Examiners and Coroners
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/08/2013
Retrieve Notice of Action (NOA) 08/28/2013
  Inventory as of this Action Requested Previously Approved
11/30/2014 12 Months From Approved
1,440 0 0
387 0 0
0 0 0
CDC plans to conduct a mail survey of medical examiners and coroners to describe knowledge, opinions, diagnostic and reporting practices relating to sudden unexpected infant deaths.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  77 FR 69485 11/19/2012
78 FR 52532 08/23/2013
Yes
3
IC Title Form No. Form Name
National Survey of Medical Examiners
National Survey of Coroners
Screener
  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 1,440 0 0 1,440 0 0
Annual Time Burden (Hours) 387 0 0 387 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a Request for a NEW OMB Control Number for a one-time study.
$312,500
Yes Part B of Supporting Statement
Yes
No
No
No
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.
08/28/2013