DIABETES CONTROL PROGRAM EVALUATION REPORTS

ICR 198708-0920-005

OMB: 0920-0203

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
110855
Migrated
ICR Details
0920-0203 198708-0920-005
Historical Active
HHS/CDC
DIABETES CONTROL PROGRAM EVALUATION REPORTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/22/1987
Retrieve Notice of Action (NOA) 08/25/1987
This information collection request is approved under the following conditions: the information requested in the quarterly narratives should only be solicited on an annual basis, and CDC should submit a correction worksheet to revise the burden estimates in light of this change.
  Inventory as of this Action Requested Previously Approved
10/31/1990 10/31/1990
280 0 0
1,030 0 0
0 0 0

TO ASSURE THAT PERSONS AT HIGH RISK FOR SPECIFIC COMPLICATIONS OF DIABETES ARE IDENTIFIED, ENTERED INTO THE HEALTH CARE SYSTEM, AND RECEIVE APPROPRIATE STATE-OF-THE-ART PREVENTIVE CARE AND TREATMENT, STATE DIABETES PROGRAMS REPORT QUARTERLY ON ACTIVITIES AND PROGRAM ACCOMPLISHMENTS.

None
None


No

1
IC Title Form No. Form Name
DIABETES CONTROL PROGRAM EVALUATION REPORTS

  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 280 0 0 280 0 0
Annual Time Burden (Hours) 1,030 0 0 1,030 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.
08/25/1987


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