NCHS Vital Statistics Training Form

ICR 200104-0920-008

OMB: 0920-0217

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
6684 Migrated
ICR Details
0920-0217 200104-0920-008
Historical Active 199403-0920-002
HHS/CDC
NCHS Vital Statistics Training Form
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/12/2001
Retrieve Notice of Action (NOA) 04/17/2001
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004
157 0 0
44 0 0
0 0 0

CDC/NCHS provides free training courses to state, county, and local vital records and vital statistics staff as part of a Center program to promote uniformity and high quality of national vital statistics data. Clearance is sought for documents that obtain an annual survey of the states regarding their training needs and provide a form for individuals to apply for such training.

None
None


No

1
IC Title Form No. Form Name
NCHS Vital Statistics Training Form CDC-64.52

  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 157 0 0 157 0 0
Annual Time Burden (Hours) 44 0 0 44 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.
04/17/2001


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