EVALUATION OF STATEWIDE HYPERTENSION PROGRAMS

ICR 198509-0925-005

OMB: 0925-0243

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
111515
Migrated
ICR Details
0925-0243 198509-0925-005
Historical Active 198408-0925-004
HHS/NIH
EVALUATION OF STATEWIDE HYPERTENSION PROGRAMS
Revision of a currently approved collection   No
Regular
Approved without change 12/05/1985
Retrieve Notice of Action (NOA) 09/17/1985
  Inventory as of this Action Requested Previously Approved
12/31/1986 12/31/1986 12/31/1985
4,800 0 1,300
432 0 725
0 0 0

THE DATA WILL BE USED BY NHLBI, STATES AND CONGRESS TO EVALUATE EFFECTIVENESS OF STATE DEMONSTRATION PROGRAMS TO IMPROVE COORDINATION OF HYPERTENSION CONTROL EFFORTS. IDENTIFICATION OF FACTORS CORRELATIN WITH PROGRAM SUCCESS WILL AID STATE HEALTH PLANNING, MANAGEMENT AND DELIVERY. RESPONDENTS ARE HYPERTENSION PROGRAM ADMINISTRATORS AND SERVICE PROVIDERS.

None
None


No

1
IC Title Form No. Form Name
EVALUATION OF STATEWIDE HYPERTENSION PROGRAMS

  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 4,800 1,300 0 3,500 0 0
Annual Time Burden (Hours) 432 725 0 -293 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
09/17/1985


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