National Diabetes Education Program Evaluation Survey of the Public

ICR 200811-0925-002

OMB: 0925-0552

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
New
Supplementary Document
2009-01-07
Supporting Statement B
2008-11-14
Supplementary Document
2008-11-14
Supplementary Document
2008-11-14
Supporting Statement A
2009-01-07
IC Document Collections
ICR Details
0925-0552 200811-0925-002
Historical Active 200507-0925-002
HHS/NIH
National Diabetes Education Program Evaluation Survey of the Public
Extension without change of a currently approved collection   No
Regular
Approved with change 01/08/2009
Retrieve Notice of Action (NOA) 11/25/2008
Approved per revised Supporting Statement A and Questionnaire uploaded into ROCIS on 01/07/09.
  Inventory as of this Action Requested Previously Approved
01/31/2012 36 Months From Approved 01/31/2009
3,759 0 1
575 0 400
0 0 0

This is a request for OMB approval of clearance to conduct a nationwide survey of the public related to the objectives of the National Diabetes Education Program.

US Code: 42 USC 285c Name of Law: Diabetes Mellitus Interagency Coordinating Committee
  
None

Not associated with rulemaking

  73 FR 52052 09/08/2008
73 FR 71012 11/24/2008
Yes

2
IC Title Form No. Form Name
Screening Interview with Ineligible Persons 1 questionnaire
Eligible Respondents 1 questionnaire

  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 3,759 1 0 0 3,758 0
Annual Time Burden (Hours) 575 400 0 0 175 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$250,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Mikia Currie 3014350941

  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.
11/25/2008


© 2024 OMB.report | Privacy Policy