NONTUBERCULOUS MYCROBACTERIAL DISEASE SURVEILLANCE

ICR 198302-0920-002

OMB: 0920-0100

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
110690 Migrated
ICR Details
0920-0100 198302-0920-002
Historical Active 198103-0920-001
HHS/CDC
NONTUBERCULOUS MYCROBACTERIAL DISEASE SURVEILLANCE
Extension without change of a currently approved collection   No
Regular
Approved without change 03/21/1983
Retrieve Notice of Action (NOA) 02/01/1983
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983 04/30/1983
2,000 0 2,000
500 0 500
0 0 0

THE PURPOSE OF THIS SURVEILLANCE PROGRAM IS TO GATHER DEMOGRAPHIC, CLINICAL, AND LABORATORY INFORMATON ABOUT PATIENTS FROM WHOM NONTUBERCULOUS MYCOBACTERIA HAVE BEEN ISOLATED. THESE DATA WILL BE USED TO BETTER DEFINE THE PREVALENCE AND DISTRIBUTION OF DISEASE. THI CLEARANCE REQUEST IS TO ENABLE A FULL TWO YEARS OF DATA IN THE "PILOT" RUN OF THE SYSTEM.

None
None


No

1
IC Title Form No. Form Name
NONTUBERCULOUS MYCROBACTERIAL DISEASE SURVEILLANCE CDC 72.3,, 72.6

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 500 500 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.
02/01/1983


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