Access to Mammography Services Survey

ICR 199807-0910-008

OMB: 0910-0383

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
6029
Migrated
ICR Details
0910-0383 199807-0910-008
Historical Active
HHS/FDA
Access to Mammography Services Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/21/1998
Retrieve Notice of Action (NOA) 07/22/1998
This collection is approved on the following conditions: FDA shall provide a clear justification for selecting four open facilities and conducting the survey with the first two open facilities that agree to complete the survey. The justification should explain in detail how this approach does not introduce any bias into the sample. After discussions with FDA, OMB will determine whether the controls should be chosen as proposed or whether FDA should only select two open facilities and take any additional measures necessary to ensure sufficient response rates. FDA shall amend the package accordingly with an addendum submitted to OMB for the public file.
  Inventory as of this Action Requested Previously Approved
09/30/2001 09/30/2001
648 0 0
183 0 0
0 0 0

This survey is intended to determine reasons for facility closures, including those related to specific MQSA regulations and those attributable to general operational challenges. This survey will also gather information from facilities continuing to provide mammography services to determine the impact of MQSA regulations. A total of 460 facilities no longer providing mammography services and 920 facilities continuing to provide services will be given the opportunity to participate in a 15-minute telephone interview.

None
None


No

1
IC Title Form No. Form Name
Access to Mammography Services 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 648 0 0 648 0 0
Annual Time Burden (Hours) 183 0 0 183 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
07/22/1998


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