Approved for use
as a preliminary pilot through 12/2004. OMB requests that this
collection effort is tested in a more limited representative number
of sites before implementing the entire demonstration. Due to the
sensitive nature of these data, HRSA must evaluate general and item
nonresponse and the characteristics of bias. In addition, HRSA must
evaluate the validity of these data. No later than 9/2003, HRSA
must submit to OMB a plan for this preliminary pilot and a
correction worksheet reflecting the pilot's burden. In addition,
HRSA must amend the race/ethnicity question on the client-level
form so that it complies with OMB's standard for race/ethnicity
data.
Inventory as of this Action
Requested
Previously Approved
12/31/2004
12/31/2004
16,070
0
0
1
0
0
0
0
0
The data collected from the
information on Title III and IV will describe characteristics of
clients receiving services at facilities funded under Title III and
IV of the CARE Act.
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.