National Public Health Performance Standards Program Local Public Health Governance Performance Assessment Tool

ICR 200310-0920-001

OMB: 0920-0580

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0920-0580 200310-0920-001
Historical Active 200301-0920-003
HHS/CDC
National Public Health Performance Standards Program Local Public Health Governance Performance Assessment Tool
Revision of a currently approved collection   No
Regular
Approved without change 12/09/2003
Retrieve Notice of Action (NOA) 10/10/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 02/28/2006
1,067 0 1,067
6,402 0 6,402
0 0 0

DPHSDR, PHPPO, CDC propose to collect, analyze, and disseminate data on the public health infrasturucture and performance of local health jurisdictions. Data will be based on the ten essential public health services. Data will be used to 1) monitor progress toward accomplishment of national infrasturucture objectives included in Health People 2010. 2) for quality improvement and strategic planning by health officials/policy makers.

None
None


No

1
IC Title Form No. Form Name
National Public Health Performance Standards Program Local Public Health Governance Performance Assessment Tool

  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 1,067 1,067 0 0 0 0
Annual Time Burden (Hours) 6,402 6,402 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
10/10/2003


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