Evaluation of the Field Triage Decision Scheme: The National Trauma Triage Protocol

ICR 200912-0920-006

OMB: 0920-0844

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2010-02-02
Supporting Statement B
2009-12-10
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supporting Statement A
2009-12-10
ICR Details
0920-0844 200912-0920-006
Historical Active
HHS/CDC
Evaluation of the Field Triage Decision Scheme: The National Trauma Triage Protocol
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/03/2010
Retrieve Notice of Action (NOA) 12/28/2009
Approved consistent with revised documents uploaded on 2/2/2010.
  Inventory as of this Action Requested Previously Approved
02/29/2012 24 Months From Approved
1,596 0 0
412 0 0
0 0 0

The Field Triage Decision Scheme: The National Trauma Triage Protocol educational initiative was developed to help emergency medical services (EMS) professionals (administrators, medical directors, trauma system leadership, and providers) learn about and implement the revised Field Triage Decision Scheme. The proposed data collection is an evaluation to assess the Field Triage Decision Scheme: The National Trauma Triage Protocol educational initiative's short-term impact on EMS professional's knowledge, use, and implementation of the Decision Scheme.

US Code: 42 USC 301 [241] Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  74 FR 48079 09/21/2009
74 FR 236 12/10/2009
No

3
IC Title Form No. Form Name
Screening and Recruitment for Focus Groups
EMP Professional Focus Groups
EMS Professional 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 1,596 0 0 1,596 0 0
Annual Time Burden (Hours) 412 0 0 412 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new request for data collection.

$56,200
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604

  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.
12/28/2009


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