UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1984 CURRENT POPULATION SURVEY

ICR 198406-0920-001

OMB: 0920-0045

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
0920-0045 198406-0920-001
Historical Active 198205-0920-001
HHS/CDC
UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1984 CURRENT POPULATION SURVEY
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/05/1984
Retrieve Notice of Action (NOA) 06/07/1984
  Inventory as of this Action Requested Previously Approved
11/30/1985 11/30/1985
43,500 0 0
5,075 0 0
0 0 0

THE DATA OBTAINED ON VACCINATION STATUS OF INDIVIDUALS AGAINST INFLUENZA AND OTHER SPECIFIED DISEASES WILL BE UTILIZED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO EVALUATE VACCINATION PROGRA IN EFFECT.

None
None


No

1
IC Title Form No. Form Name
UNITED STATES IMMUNIZATION SURVEY - SUPPLEMENT TO SEPTEMBER 1984 CURRENT POPULATION SURVEY CPS-524, (IM), CPS-1

  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 43,500 0 0 43,500 0 0
Annual Time Burden (Hours) 5,075 0 0 5,075 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.
06/07/1984


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