EAST BOSTON NEIGHBORHOOD HEALTH CENTER'S SENION HEALTH PROJECT FINAL HOUSEHOLD INTERVIEW

ICR 198408-0925-008

OMB: 0925-0248

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
0925-0248 198408-0925-008
Historical Active
HHS/NIH
EAST BOSTON NEIGHBORHOOD HEALTH CENTER'S SENION HEALTH PROJECT FINAL HOUSEHOLD INTERVIEW
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/15/1984
Retrieve Notice of Action (NOA) 08/21/1984
THIS REQUEST FOR CLEARANCE IS APPROVED ON THE CONDITION THAT THE DATA RETRIEVED VIA THIS COLLECTION AS WELL AS THOSE DATA RESULTING FROM EARLIER COLLECTIONS UNDER THE EAST BOSTON SENIOR HEALTH PROJECT BE AVAILABLE FOR ANALYSIS BY OTHER HOSPITAL OR HEALTH CENTER INVESTIGATOR WITH THE AGREEMENT OF THE PRINCIPAL INVESTIGATOR. THIS CLEARANCE ACTI PERTAINS TO THE FINAL HOUSEHOLD INTERVIEW ONLY AND SHOULD NOT BE INTERPRETED AS AN ENDORSEMENT OF THE CONTINUATION OF THE MINIMAL SURVEILLANCE EFFORT REFERRED TO IN THE SUPPORTING STATEMENT.
  Inventory as of this Action Requested Previously Approved
12/31/1985 12/31/1985
3,662 0 0
2,137 0 0
0 0 0

THIS PROSPECTIVE EPIDEMIOLOGIC STUDY WILL DETERMINE THE INFLUENCES OF PHYSIOLOGICAL, BEHAVIORAL, SOCIAL, AND ENVIRONMENTAL FORCES ON THE MORTALITY, MORBIDITY, AND UTILIZATION OF HEALTH SERVICES IN ELDERLY. ELIGIBLE RESPONDENTS ARE THE SURVIVING PARTICIPANTS IN THE EAST BOSTON SENIOR HEALTH PROJECT.

None
None


No

1
IC Title Form No. Form Name
EAST BOSTON NEIGHBORHOOD HEALTH CENTER'S SENION HEALTH PROJECT FINAL HOUSEHOLD INTERVIEW

  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 3,662 0 0 3,662 0 0
Annual Time Burden (Hours) 2,137 0 0 2,137 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.
08/21/1984


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