State and Local Area Integrated Telephone Survey (SLAITS)

ICR 200405-0920-005

OMB: 0920-0406

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
37766
Migrated
ICR Details
0920-0406 200405-0920-005
Historical Active 200311-0920-004
HHS/CDC
State and Local Area Integrated Telephone Survey (SLAITS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/18/2004
Retrieve Notice of Action (NOA) 05/18/2004
  Inventory as of this Action Requested Previously Approved
12/31/2004 12/31/2004 12/31/2004
382,498 0 381,671
150,636 0 150,606
0 0 0

The State and Local Area Integrated Telephone Survey (SLAITS) began three years ago, using an integrated, coordinated framework to maximize analytic potential, minimize cost, provide data for sub-national and national comparisons, and avoid unnecessary respondent burden. It is one of few population-based survey mechanisms within DHHS designed specifically to produce standardized and comparable data across states and over time on general health and health related topics. As an expansion of another major survey system, the National Immunization Survey (NIS), SLAITS has developed....

None
None


No

1
IC Title Form No. Form Name
State and Local Area Integrated Telephone Survey (SLAITS)

  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 382,498 381,671 0 827 0 0
Annual Time Burden (Hours) 150,636 150,606 0 30 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.
05/18/2004


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