ACHES (Arthritis Conditions Health Effects Survey)

ICR 200410-0920-010

OMB: 0920-0673

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
7141
Migrated
ICR Details
0920-0673 200410-0920-010
Historical Active
HHS/CDC
ACHES (Arthritis Conditions Health Effects Survey)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/18/2005
Retrieve Notice of Action (NOA) 10/20/2004
Approved consistent with CDC memo forwarded to OMB 02/16/05. CDC is reminded that collections of information conducted through focus groups are subject to PRA review. OMB approves proposed incentives based on the justification provided by CDC.
  Inventory as of this Action Requested Previously Approved
02/28/2007 02/28/2007
14,750 0 0
1,750 0 0
0 0 0

ACHES is a national random digit dial telephone survey about arthritis. The prupose of ACHES is to gather information on symptoms, limitations, physicl functioning levels, effects of arthritis on work, knowledge and attitudes about arthritis, self management of arthritis, current physical activity, anxiety, depression, and demographics from a representative sample of persons age 45 years and older with arthritis or chronic joint symptoms. The information will be used to better direct and target national and state arthritis control efforts.

None
None


No

1
IC Title Form No. Form Name
ACHES (Arthritis Conditions Health Effects Survey)

  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 14,750 0 0 14,750 0 0
Annual Time Burden (Hours) 1,750 0 0 1,750 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.
10/20/2004


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