State and Local Area Integrated Telephone Survey (SLAITS)

ICR 200603-0920-013

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
37765
Migrated
ICR Details
0920-0406 200603-0920-013
Historical Active 200601-0920-008
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 03/27/2006
Retrieve Notice of Action (NOA) 03/27/2006
  Inventory as of this Action Requested Previously Approved
11/30/2007 11/30/2007 11/30/2007
620,325 0 604,800
55,190 0 54,155
0 0 0

The State and Local Area Integrated Telephone Survey (SLAITS) will provide state level estimates on a wide range of health, health insurance, and welfare related topcis to help track and monitor changs in health and welfare outcomes. SLAITS can provide both general purpose health statistics and targeted population statistics for special studies.

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 620,325 604,800 0 15,525 0 0
Annual Time Burden (Hours) 55,190 54,155 0 1,035 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.
03/27/2006


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