HoME: Household Medkit Evaluation Study

ICR 200602-0920-008

OMB: 0920-0722

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
7191
Migrated
ICR Details
0920-0722 200602-0920-008
Historical Active
HHS/CDC
HoME: Household Medkit Evaluation Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/04/2006
Retrieve Notice of Action (NOA) 02/16/2006
Approved consistent with the following terms of clearance: approved consistent with CDC memos submitted to OMB clarifying the degree to which study results will be generalizable, updating the questionnaire to conform with OMB standards for the collection of information on race and ethnicity, and providing documentation of IRB approval. Upon completion of the study CDC shall provide OMB with a copy of survey results and analysis. CDC is reminded to provide commenters who request additional information in response to a public notice soliciting comment under the Paperwork Reduction Act with the information requested on a timely basis.
  Inventory as of this Action Requested Previously Approved
05/31/2007 05/31/2007
34,478 0 0
7,253 0 0
0 0 0

The information from this study will be used to assess the ability of 5,000 volunteers from select populations to store and maintain FDA-approved medicines and for the sole purpose of being reserved for a public health emergency.

None
None


No

1
IC Title Form No. Form Name
HoME: Household Medkit Evaluation Study

  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 34,478 0 0 34,478 0 0
Annual Time Burden (Hours) 7,253 0 0 7,253 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.
02/16/2006


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