MALARIA SURVEY AMONG U.S. TRAVELERS

ICR 198602-0920-003

OMB: 0920-0154

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
110797 Migrated
ICR Details
0920-0154 198602-0920-003
Historical Active 198501-0920-001
HHS/CDC
MALARIA SURVEY AMONG U.S. TRAVELERS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/21/1986
Retrieve Notice of Action (NOA) 02/12/1986
  Inventory as of this Action Requested Previously Approved
04/30/1989 04/30/1989
12,400 0 0
1,447 0 0
0 0 0

TO MEASURE THE LEVEL OF AWARENESS REGARDING THE RISK OF EXPOSU TO MALARIA, THE SOURCES CONSULTED PRIOR TO TRAVEL, THE ADVICE RECEIVED TO REDUCE THE RISK OF ACQUIRING MALARIA, AND THE ANTI-MALARIA MEASURES UTILIZED, A QUESTIONNAIRE SURVEY IS TO BE ADMINISTERED AMONG U.S. TRAVELERS RETURNING FROM MALARIA COUNTRIES IN ASIA AND AFRICA.

None
None


No

1
IC Title Form No. Form Name
MALARIA SURVEY AMONG U.S. TRAVELERS CDC 54.36

  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 12,400 0 0 12,400 0 0
Annual Time Burden (Hours) 1,447 0 0 1,447 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.
02/12/1986


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