FARM FAMILY HEALTH AND HAZARD SURVEILLANCE -- COLORADO

ICR 199207-0920-005

OMB: 0920-0309

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
111045
Migrated
ICR Details
0920-0309 199207-0920-005
Historical Active
HHS/CDC
FARM FAMILY HEALTH AND HAZARD SURVEILLANCE -- COLORADO
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/15/1992
Retrieve Notice of Action (NOA) 07/21/1992
Pursuant to the Paperwork Reduction Act, we have approved the use of this information collection instrument in Colorado. Due to the limited control group available in this study (existing information from the Colorado Behavioral Risk Factor Survey), this instrument will serve on to identify morbidity and mortality rates among farmers. NIOSH should refrain from linking illnesses and disease to farm exposures except in cases where clear linkages may be discerned (as in cases where such ailments are only caused by a specific exposure or where medical dianoses have been made). However, this survey will permit the reporti of farm-related injuries, due to the proximate nature of their cause a effect. Only if NIOSH develops more case-control epidemiologic evidenc will the Agency be able to link illnesses to exposures on the farm.
  Inventory as of this Action Requested Previously Approved
10/31/1995 10/31/1995
2,300 0 0
1,770 0 0
0 0 0

RESPONDENTS WILL INCLUDE FARMERS AND THEIR FAMILIES TO OBTAIN PREVALEN AND INCIDENCE DATA ON THE ILLNESSES, INJURIES, AND EXPOSURES TO WORK PLACE HAZARDS. CDC/NIOSH STAFF INVESTIGATORS WILL USE THE INFORMATION FROM THESE SURVEYS FOR RESEARCH AND PREVENTION PROGRAMS DESIGNED TO REDUCE THE HIGH LEVEL OF WORK-RELATED INJURIES AND ILLNESSES NOW BEING EXPERIENCED BY FARMERS AND THEIR FAMILY MEMBERS.

None
None


No

1
IC Title Form No. Form Name
FARM FAMILY HEALTH AND HAZARD SURVEILLANCE -- COLORADO

  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 2,300 0 0 2,300 0 0
Annual Time Burden (Hours) 1,770 0 0 1,770 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
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.
07/21/1992


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