PREVENTIVE HEALTH PRACTICES OF U.S. CITIZENS

ICR 198102-0920-001

OMB: 0920-0087

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
165696
Migrated
ICR Details
0920-0087 198102-0920-001
Historical Active 198008-0920-002
HHS/CDC
PREVENTIVE HEALTH PRACTICES OF U.S. CITIZENS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/02/1981
Approved with change 02/02/1981
Retrieve Notice of Action (NOA) 02/02/1981
  Inventory as of this Action Requested Previously Approved
06/30/1981 06/30/1981 03/31/1981
10,000 0 10,000
1,167 0 1,167
0 0 0



None
None


No

1
IC Title Form No. Form Name
PREVENTIVE HEALTH PRACTICES OF U.S. CITIZENS

  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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 1,167 1,167 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/02/1981


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