SUDDEN UNEXPLAINED DEATH SYNDROME SURVEILLANCE

ICR 198509-0920-008

OMB: 0920-0171

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
165718
Migrated
ICR Details
0920-0171 198509-0920-008
Historical Active 198504-0920-002
HHS/CDC
SUDDEN UNEXPLAINED DEATH SYNDROME SURVEILLANCE
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/20/1985
Approved with change 09/20/1985
Retrieve Notice of Action (NOA) 09/20/1985
  Inventory as of this Action Requested Previously Approved
06/30/1988 06/30/1988 06/30/1988
367 0 1,867
62 0 62
0 0 0

IN COOPERATION WITH STATE AND LOCAL HEALTH DEPARTMENTS, MEDICAL EXAMINERS, AND CORONERS, THE PROPOSED SURVEILLANCE SYSTEM AND REGISTRY WILL COLLECT CASE REPORTS OF SOUTHEAST ASIAN ADULTS WHO DIED FROM SUDD UNEXPLAINED DEATH SYNDROME (SUDS). THE DATA COLLECTED WILL BE USED TO MONITOR THE OCCURRENCE OF SUDS IN THE U.S., IDENTIFY RISK FACTORS AND EVALUATE THE EFFECTIVENESS OF COMMUNITY INTERVENTION STRATEGIES TO REDUCE RISK.

None
None


No

1
IC Title Form No. Form Name
SUDDEN UNEXPLAINED DEATH SYNDROME 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 367 1,867 0 -1,500 0 0
Annual Time Burden (Hours) 62 62 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.
09/20/1985


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