PILOT STUDY OF NEUROLOGIC ILLNESS AND VACCINATION

ICR 198712-0920-004

OMB: 0920-0202

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
165732
Migrated
ICR Details
0920-0202 198712-0920-004
Historical Active 198709-0920-002
HHS/CDC
PILOT STUDY OF NEUROLOGIC ILLNESS AND VACCINATION
No material or nonsubstantive change to a currently approved collection   No
Emergency 12/01/1987
Approved with change 12/01/1987
Retrieve Notice of Action (NOA) 12/01/1987
  Inventory as of this Action Requested Previously Approved
07/31/1990 07/31/1990 07/31/1990
15,299 0 15,299
1,641 0 11,363
0 0 0

THIS PILOT STUDY WILL EVALUATE THE FEASIBILITY OF VARIOUS METHODS OF CASE ASCERTAINMENT AND DATA COLLECTION, AND OBTAIN MORE PRECISE ESTIMATES OF INCIDENCE AND COST FOR NEUROLOGIC EVENTS FOLLOWING PERTUSSIS AND MEASLES VACCINATION.

None
None


No

1
IC Title Form No. Form Name
PILOT STUDY OF NEUROLOGIC ILLNESS AND VACCINATION

  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 15,299 15,299 0 0 0 0
Annual Time Burden (Hours) 1,641 11,363 0 -9,722 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.
12/01/1987


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