Racial and Ethnic Approaches to Community Health (REACH) Evaluation

ICR 200011-0920-006

OMB: 0920-0502

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0502 200011-0920-006
Historical Active
HHS/CDC
Racial and Ethnic Approaches to Community Health (REACH) Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/12/2001
Retrieve Notice of Action (NOA) 11/22/2000
Approved consistent with changes and clarifications described in CDC memos of 1-22-01, 1-30-01, and 2-9-01. After completion of the pilot, CDC will report to OMB on the pilot results and make any necessary changes to this package prior to proceeding with the study.
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004
25,200 0 0
7,918 0 0
0 0 0

Interviews from adults living in 22 communities will be conducted to assess progress in eliminating disparities in health as part of the REACH 2010 community intervention project.

None
None


No

1
IC Title Form No. Form Name
Racial and Ethnic Approaches to Community Health (REACH) Evaluation

  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 25,200 0 0 25,200 0 0
Annual Time Burden (Hours) 7,918 0 0 7,918 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
11/22/2000


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