NUTRITION SURVEILLANCE VALIDATION SURVEY

ICR 198011-0920-002

OMB: 0920-0092

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110679
Migrated
ICR Details
0920-0092 198011-0920-002
Historical Active
HHS/CDC
NUTRITION SURVEILLANCE VALIDATION SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/05/1980
Retrieve Notice of Action (NOA) 11/12/1980
  Inventory as of this Action Requested Previously Approved
09/30/1981 09/30/1981
1,500 0 0
750 0 0
0 0 0

THIS SURVEY WILL EXAMINE THE SENSITIVITY AND SPECIFICITY OF THE ONGOING COORDINATED NUTRITIONAL SURVEILLANCE SYSTEM. WILL BEGIN AS SOON AS CLEARANCE RECEIVED, DATA COLLECTION WILL LAST ABOUT ONE YEAR.

None
None


No

1
IC Title Form No. Form Name
NUTRITION SURVEILLANCE VALIDATION SURVEY

  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 1,500 0 0 1,500 0 0
Annual Time Burden (Hours) 750 0 0 750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
11/12/1980


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