Information Collection Request

[CSTLTS] Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes

ICR 202301-0920-008 · OMB 0920-1295 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Reaccredited health departments Form Modified Available
Reaccredited health departments Form Modified Repair queued
Approaching accreditation health departments Form Modified Available
Approaching accreditation health departments Form Modified Repair queued
Accredited one year health departments Form Modified Available
Accredited one year health departments Form Modified Repair queued
Recently accredited health departments Form Modified Available
Recently accredited health departments Form Modified Repair queued
Survey 1 Form Modified Available
Applicant Health Departments Form Modified Repair queued
Attachment M_Privacy Act Checklist.docx Supplementary Document Uploaded 2023-01-17 Repair queued
Attachment O_PHAB Survey Distribution Table.docx Supplementary Document Uploaded 2023-01-17 Repair queued
Attachment N_Non-Research Determination.docx Supplementary Document Uploaded 2023-01-17 Repair queued
60 day FRN (published).pdf Supplementary Document Uploaded 2023-01-13 Repair queued
AttachmentA_Public Health Service Act.doc Supplementary Document Uploaded 2019-12-30 Repair queued
3_Statement B PHAB ICR Extension.docx Supporting Statement B Uploaded 2023-02-23 Repair queued
2_Statement A PHAB ICR_Extension.rev 022323.docx Supporting Statement A Uploaded 2023-02-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
239114 Reaccredited health departments Form ModifiedReaccredited health departments
239114 Reaccredited health departments Form Modified
239113 Approaching accreditation health departments Form ModifiedApproaching accreditation health departments
239113 Approaching accreditation health departments Form Modified
239112 Accredited one year health departments Form ModifiedAccredited one year health departments
239112 Accredited one year health departments Form Modified
239111 Recently accredited health departments Form ModifiedRecently accredited health departments
239111 Recently accredited health departments Form Modified
239110 Applicant Health Departments Form ModifiedSurvey 1
239110 Applicant Health Departments Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved 04/30/2023
300 0 300
100 0 100
0 0 4,070





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Accredited one year health departments none
Applicant Health Departments none
Approaching accreditation health departments none
Reaccredited health departments none
Recently accredited health departments none

table that charts list of burden
  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 300 300 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 0 4,070 0 -4,070 0 0


Reginfo record details
  No