AN EVALUATION OF THE FEASIBILITY OF AN INJURY RISK FACTOR SURVEILLANCE SYSTEM

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
111079	AN EVALUATION OF THE FEASIBILITY OF AN INJURY RISK FACTOR SURVEILLANCE SYSTEM	Migrated

ICR Details

OMB Control No: 0920-0342	ICR Reference No: 199312-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: AN EVALUATION OF THE FEASIBILITY OF AN INJURY RISK FACTOR SURVEILLANCE SYSTEM
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/09/1994
	Date Received in OIRA: 12/10/1993
Terms of Clearance: We have approved this one-time survey of potential injury risk factors with the following conditions: 1) We have not approved question DPL8 module IV, due to its subjectivity. As a replacement, we suggest a follow-on to question DPL9. If the respondent answers that the house paint has been tested for the presence of lead, ask the respondent whether or not lead was found. 2) Approval for continued use of a survey like this one for surveillance of risk factors will depend on a discussion of how closely these measures of actions and beliefs relate to actual injury rates. In addition, continued use of such a survey will depend on how well this pilot study reaches hard-to-contact persons or populations that may experience particularly high rates of injury. We suggest that the agency conduct a local study to explore the relationship between reported risk factors and the actual rates at which associated injuries occur.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1995	01/31/1995
Responses	8,500	0	0
Time Burden (Hours)	2,216	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: A NATIONAL TELEPHONE SURVEY OF 5,000 ADULTS IN THE UNITED STATES WILL CONDUCTED TO EVALUATE THE FEASIBILITY OF USING SUCH A SURVEY IN MONITORING INJURY RISK FACTORS AND SELECTED YEAR 2000 INJURY OBJECTIVE ADDITIONALLY, DATA ABOUT CHILDHOOD LEAD POISONING WILL BE COLLECTED.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
AN EVALUATION OF THE FEASIBILITY OF AN INJURY RISK FACTOR SURVEILLANCE SYSTEM

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ICR Summary of Burden

	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	8,500	0	0	8,500	0	0
Annual Time Burden (Hours)	2,216	0	0	2,216	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/10/1993

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