Survey of Healthy Start Programs

ICR 200402-0915-003

OMB: 0915-0287

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
6540
Migrated
ICR Details
0915-0287 200402-0915-003
Historical Active
HHS/HSA
Survey of Healthy Start Programs
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/10/2004
Retrieve Notice of Action (NOA) 02/20/2004
Approved consistent with clarification provided in HRSA memo forwarded to OMB on 06/08/04.
  Inventory as of this Action Requested Previously Approved
06/30/2005 06/30/2005
96 0 0
288 0 0
0 0 0

The purpose of this survey will provide the first set of consistent data on all 96 grantees of the Healthy Start program and the services and system activities in which they are engages. The survey will also provide important information on the results being achieved by these grantees.

None
None


No

1
IC Title Form No. Form Name
Survey of Healthy Start Programs

  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 96 0 0 96 0 0
Annual Time Burden (Hours) 288 0 0 288 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.
02/20/2004


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