REYE SYNDROME SURVEILLANCE

ICR 198109-0920-005

OMB: 0920-0042

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
165689 Migrated
ICR Details
0920-0042 198109-0920-005
Historical Active 198107-0920-009
HHS/CDC
REYE SYNDROME SURVEILLANCE
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/30/1981
Approved with change 09/30/1981
Retrieve Notice of Action (NOA) 09/30/1981
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 07/31/1984
500 0 288
167 0 96
0 0 0

TO DEVELOP INFORMATION CONCERNING THE EPIDEMIOLOGY, INCIDENCE, CASE FATALITY RATE, AND OTHER DEMOGRAPHIC DATA ON REYE SYNDROME.

None
None


No

1
IC Title Form No. Form Name
REYE SYNDROME SURVEILLANCE CDC 4.571, CDC 4.571

  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 500 288 0 0 212 0
Annual Time Burden (Hours) 167 96 0 0 71 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.
09/30/1981


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