SURVEY OF THE ANTECEDENTS, MEDIATORS, AND HEALTH CONSEQUENCES OF STRESS

ICR 198309-0937-002

OMB: 0937-0127

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0937-0127 198309-0937-002
Historical Active
HHS/OASH
SURVEY OF THE ANTECEDENTS, MEDIATORS, AND HEALTH CONSEQUENCES OF STRESS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/18/1983
Retrieve Notice of Action (NOA) 09/26/1983
  Inventory as of this Action Requested Previously Approved
04/30/1984 04/30/1984
2,500 0 0
1,250 0 0
0 0 0

THIS SURVEY WILL PROVIDE DATA THAT WILL ENABLE THE PHS TO ESTABLISH BASELINE MEASURES AND MONITOR PROGRESS TOWARD A SERIES OF HEALTH PROMOTION/DISEASE PREVENTION OBJECTIVES RELATED TO STRESS. COLLECTION WILL BEGIN ON OR ABOUT OCTOBER 1, 1983 AND END ON OR ABOUT NOVEMBER 15 1983. AFFECTED PUBLIC IS THAT OVER 18 YEARS OF AGE RESIDING IN TELEPHONE HOUSEHOLDS.

None
None


No

1
IC Title Form No. Form Name
SURVEY OF THE ANTECEDENTS, MEDIATORS, AND HEALTH CONSEQUENCES OF STRESS

  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 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 1,250 0 0 1,250 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.
09/26/1983


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