National Surveillance for Hospital Health Care Workers

ICR 199707-0920-002

OMB: 0920-0417

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
6826
Migrated
ICR Details
0920-0417 199707-0920-002
Historical Active
HHS/CDC
National Surveillance for Hospital Health Care Workers
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/19/1997
Retrieve Notice of Action (NOA) 07/22/1997
This collection is approved on the condition that CDC revise the burden statement to comply with the Paperwork Reduction Act of 1995.
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000
59,745 0 0
14,554 0 0
0 0 0

This data collection will assess the level and types of occupational exposures and infections which occur among hospital-based health care workers and assist in developing prevention methodologies.

None
None


No

1
IC Title Form No. Form Name
National Surveillance for Hospital Health Care Workers

  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 59,745 0 0 59,745 0 0
Annual Time Burden (Hours) 14,554 0 0 14,554 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.
07/22/1997


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