NEONATAL HERPES SIMPLEX INFECTION SURVEILLANCE

ICR 198408-0920-007

OMB: 0920-0139

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
110774
Migrated
ICR Details
0920-0139 198408-0920-007
Historical Active 198311-0920-004
HHS/CDC
NEONATAL HERPES SIMPLEX INFECTION SURVEILLANCE
Extension without change of a currently approved collection   No
Regular
Approved without change 10/03/1984
Retrieve Notice of Action (NOA) 08/28/1984
  Inventory as of this Action Requested Previously Approved
04/30/1985 04/30/1985 10/31/1984
250 0 250
167 0 167
0 0 0

THIS REPORT IS NEEDED TO DOCUMENT AS ACCURATELY AS POSSIBLE THE NUMBER OF NEONATAL HERPES CASES OCCURING ANNUALLY IN THE U.S. AND TO IDENTIFY RISK FACTORS FOR THIS INFECTION IN INFANTS AND PARENTS. INFORMATION WILL ASSIST STATE AND LOCAL HEALTH PROVIDERS TO ORGANIZE APPROPRIATE SCREENING AND COUNSELING PROGRAMS FOR MOTHERS AS RISK.

None
None


No

1
IC Title Form No. Form Name
NEONATAL HERPES SIMPLEX INFECTION SURVEILLANCE

  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 250 250 0 0 0 0
Annual Time Burden (Hours) 167 167 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.
08/28/1984


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