OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Update the Height Recommendation for Proper Seat Belt Fit among Children

ICR 201606-0920-004 · OMB 0920-1145 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Att. N_Confirmation letter.docx Supplementary Document Uploaded 2016-06-14 Repair queued
Att. M_Directions to Study Site.docx Supplementary Document Uploaded 2016-06-14 Available
Att. L_Flyer child recruiting.docx Supplementary Document Uploaded 2016-06-14 Available
Att. K_Postcard recruiting-ChildAdult.docx Supplementary Document Uploaded 2016-06-14 Available
Att. J_Height and weight percentile.docx Supplementary Document Uploaded 2016-06-14 Available
Att. G_NCIPC Research Determination Form.pdf Supplementary Document Uploaded 2016-06-14 Available
Att. F_PIA.pdf Supplementary Document Uploaded 2016-06-14 Available
Att. E2_Assent Form ICRO.DOCX Supplementary Document Uploaded 2016-06-14 Available
Att. E1_Consent Form ICRO.DOCX Supplementary Document Uploaded 2016-06-14 Available
Att. D_IRB Approval Letter Cont'.pdf Supplementary Document Uploaded 2016-06-13 Available
Att. B_60dy1616CA.pdf Supplementary Document Uploaded 2016-06-13 Available
Att. A_Authorizing Legislation.doc Supplementary Document Uploaded 2016-06-13 Available
SSB_KidHeightSBFit_110916.docx Supporting Statement B Uploaded 2016-11-09 Available
SSA_KidHeightSBFit_110916.docx Supporting Statement A Uploaded 2016-11-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221948 Att. I_Seat Beat Fit Measurements Other-WORD New
221945 Att. H_Screener Script Guide Other-WORD New
ICR Details
0920-1145 201606-0920-004
Historical Active
HHS/CDC 16CA
Update the Height Recommendation for Proper Seat Belt Fit among Children
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/15/2016
Retrieve Notice of Action (NOA) 06/15/2016
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved
809 0 0
466 0 0
0 0 0
Collect information needed to determine whether the 1993 height recommendation for proper seat belt fit among children is valid in the current vehicle fleet and among today's children.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  80 FR 69223 11/09/2015
81 FR 38185 06/13/2016
Yes
2
IC Title Form No. Form Name
Att. I_Seat Beat Fit Measurements
Att. H_Screener Script Guide
  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 809 0 0 809 0 0
Annual Time Burden (Hours) 466 0 0 466 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection request for a new OMB Control Number.
$184,846
Yes Part B of Supporting Statement
No
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.
06/15/2016