The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) Special Study on Motor Vehicle Safety

ICR 200312-0920-003

OMB: 0920-0623

Federal Form Document

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Document
Name
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No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0920-0623 200312-0920-003
Historical Active
HHS/CDC
The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) Special Study on Motor Vehicle Safety
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/16/2004
Retrieve Notice of Action (NOA) 12/05/2003
  Inventory as of this Action Requested Previously Approved
01/31/2006 01/31/2006
1,000 0 0
271 0 0
0 0 0

The purpose of the proposed project is to build on already existing knowledge by adding more detailed information regarding the nature, body region, and severity of injuries and exploring how a motor vehicle craseh contributed to sustained injuries of children 0 - 12 years of age, who were treated in an emergency department.

None
None


No

1
IC Title Form No. Form Name
The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) Special Study on Motor Vehicle Safety

  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 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 271 0 0 271 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.
12/05/2003


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