Understanding Family-based Detection as a Strategy for Early Diagnosis of Hemochromatosis

ICR 200407-0920-003

OMB: 0920-0656

Federal Form Document

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Document
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ICR Details
0920-0656 200407-0920-003
Historical Active
HHS/CDC
Understanding Family-based Detection as a Strategy for Early Diagnosis of Hemochromatosis
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/10/2004
Retrieve Notice of Action (NOA) 07/14/2004
Approved consistent with the following terms: CDC will amend the race and ethnicity questions to conform to government wide standards. The study addresses Hemochromatosis and its results will not be generalized to apply to other genetic disorders. CDC will provide a report to OMB, upon completion of the study, detailing results and data analysis.
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005
393 0 0
311 0 0
0 0 0

This qualitative research with patients, biological siblings, and physicians will help CDC understand barriers and motivators to family-based detection as a public health strategy for early diagnosis of hemochromatosis.

None
None


No

1
IC Title Form No. Form Name
Understanding Family-based Detection as a Strategy for Early Diagnosis of Hemochromatosis

  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 393 0 0 393 0 0
Annual Time Burden (Hours) 311 0 0 311 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.
07/14/2004


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