NCHS DATA TAPE QUESTIONNAIRE

ICR 198012-0937-002

OMB: 0937-0082

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
112292
Migrated
ICR Details
0937-0082 198012-0937-002
Historical Active
HHS/OASH
NCHS DATA TAPE QUESTIONNAIRE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/29/1981
Retrieve Notice of Action (NOA) 12/31/1980
  Inventory as of this Action Requested Previously Approved
09/30/1981 09/30/1981
400 0 0
66 0 0
0 0 0

THE PROPOSED QUESTIONNAIRE WILL AID NCHS IN COLLECTING THE NECESSARY INFORMATION TO PLAN MORE EFFECTIVELY A SECOND MICRODATA TAPE USERS CONFERENCE. THE QUESTIONNAIRE WILL BE MAILED ON JAN. 12 TO ORGANIZATIONS WHOSE STAFF ATTENDED THE FIRST CONFERENCE AND OTHERS WHO HAVE PREVIOUSLY USED NCHS DATA.

None
None


No

1
IC Title Form No. Form Name
NCHS DATA TAPE QUESTIONNAIRE

  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 400 0 0 400 0 0
Annual Time Burden (Hours) 66 0 0 66 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.
12/31/1980


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