THE INFORMATION COLLECTION OBTAINS IHS
COMMUNITY HEALTH REPRESENTATIVE PROGRAM DATA ON: SERVICE CATEGORY,
HEALTH AREA, SETTING, PATIENT'S AGE AND SEX, REFERRED FROM,
REFERRED TO, AND MINUTES PROVIDING SERVICE OR IN TRAVEL. THIS
INFORMATION IS COLLECTED DURING ONE WEEK PER MONTH REPORTED TO IHS
QUARTERLY AND USED BY CHR PROJECT MANAGERS AND IHS ARE OFFICE AND
HQ STAFF FOR PROGRAMMING, PLANNING, ALLOCATION OF
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.