OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Information Collection on Soil-transmitted Helminth Infections in Alabama and Mississippi

ICR 201906-0920-008 · OMB 0920-1271 · Active

Forms and Documents
DocumentTypeStatusAvailability
Anthropometric measurements - Mississippi Form New Available
UMMC Questionnarie Form New Available
UAB Questionnaire Form New Available
Part of I. Hookworm Study FlyerFINAL.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment B_60-day FRN_04022019.pdf Supplementary Document Uploaded 2019-07-11 Available
SSA_STH in US_06242019_rev0711 (OMB)_AS 09232019_clean (1).docx Supporting Statement A Uploaded 2019-10-07 Available
Attachment I.UMMC_Recent MPP Flyer approved 5.21.2019 (002).pdf Supplementary Document Uploaded 2019-06-24 Available
Attachment H. UAB_Project Info for Stakeholders (002).pdf Supplementary Document Uploaded 2019-06-24 Available
Attachment G. CGH Non Engaged Determination.2017-017c-.pdf Supplementary Document Uploaded 2019-06-24 Available
Attachment F. IRB Approvals.pdf Supplementary Document Uploaded 2019-06-24 Available
Attachment A_PHSA.pdf Supplementary Document Uploaded 2019-06-24 Available
Supp Statement B_STH in US_06172019_clean.docx Supporting Statement B Uploaded 2019-06-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
238016 Specimen collection - stool sample Other-Specimen collection - stool New
238015 Specimen collection - fingerprick Other-Blood Specimen Collection New
236770 Anthropometric measurements - Mississippi Form New
236769 UMMC Questionnarie Form New
236633 UAB Questionnaire Form New
ICR Details
0920-1271 201906-0920-008
Active
HHS/CDC 0920-19ABV
Information Collection on Soil-transmitted Helminth Infections in Alabama and Mississippi
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 10/09/2019
Retrieve Notice of Action (NOA) 07/11/2019
  Inventory as of this Action Requested Previously Approved
10/31/2022 36 Months From Approved
5,148 0 0
540 0 0
3,904 0 0
This data collection is needed to determine if soil-transmitted helminth (STH) infections represent an unrecognized problem in communities in the southeastern United States and to understand risk factors associated with infection. Relatively few resources have been devoted to surveillance, prevention and treatment of STH infections in recent years and they are missed by routine information collection systems in the United States.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  84 FR 12612 04/02/2019
84 FR 32922 07/10/2019
No
  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 5,148 0 0 5,148 0 0
Annual Time Burden (Hours) 540 0 0 540 0 0
Annual Cost Burden (Dollars) 3,904 0 0 3,904 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$1,509,329
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
07/11/2019