Childhood Injury and Adult Occupational Injury Suvey

ICR 200412-0535-001

OMB: 0535-0235

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
1170
Migrated
ICR Details
0535-0235 200412-0535-001
Historical Active 200310-0535-005
USDA/NASS
Childhood Injury and Adult Occupational Injury Suvey
Revision of a currently approved collection   No
Regular
Approved without change 06/28/2005
Retrieve Notice of Action (NOA) 12/06/2004
  Inventory as of this Action Requested Previously Approved
06/30/2008 06/30/2008 06/30/2005
150,500 0 136,561
12,111 0 12,093
0 0 0

Measure incidence of nonfatal injuries occuring to children on farms and agricultural injury to adults.

None
None


No

1
IC Title Form No. Form Name
Childhood Injury and Adult Occupational Injury Suvey

  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 150,500 136,561 0 13,939 0 0
Annual Time Burden (Hours) 12,111 12,093 0 18 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.
12/06/2004


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