COMMUNITY MODELS FOR DIABETES PREVENTION AND CONTROL

ICR 199303-0920-001

OMB: 0920-0301

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
111035
Migrated
ICR Details
0920-0301 199303-0920-001
Historical Active 199210-0920-001
HHS/CDC
COMMUNITY MODELS FOR DIABETES PREVENTION AND CONTROL
Extension without change of a currently approved collection   No
Regular
Approved without change 03/03/1993
Retrieve Notice of Action (NOA) 03/01/1993
  Inventory as of this Action Requested Previously Approved
10/31/1993 10/31/1993 04/30/1993
1,348 0 1,348
5,016 0 5,016
0 0 0

PILOT HOUSEHOLD SURVEY TO FIELD TEST SURVEY PROTOCOLS, PROVIDE PRELIMINARY ESTIMATES OF DIABETES PREVALENCE, AND OBTAIN THE INFORMATI NECESSARY TO DESIGN AND IMPLEMENT SUBSEQUENT COMMUNITY DIABETES SURVEY INFORMATION FROM THE STUDY ACTIVITIES WILL BE USED TO PLAN AND DEVELOP THE BASELINE COMMUNITY SURVEYS AND INTERVENTION ACTIVITIES, EVALUATING THE BURDEN OF DIABETES IN A HIGH-RISK COMMUNITY.

None
None


No

1
IC Title Form No. Form Name
COMMUNITY MODELS FOR DIABETES PREVENTION AND CONTROL

  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 1,348 1,348 0 0 0 0
Annual Time Burden (Hours) 5,016 5,016 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.
03/01/1993


© 2024 OMB.report | Privacy Policy