National Public Health Performance Standards Program Local Public Health Performance Assessment

ICR 200508-0920-006

OMB: 0920-0555

Federal Form Document

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ICR Details
0920-0555 200508-0920-006
Historical Active 200205-0920-003
HHS/CDC
National Public Health Performance Standards Program Local Public Health Performance Assessment
Revision of a currently approved collection   No
Regular
Approved without change 12/01/2005
Retrieve Notice of Action (NOA) 08/19/2005
Approved consistent with CDC memo submitted to OMB 12/01/05 clarifying changes in the estimated number of respondents and hour burden relative to the previously approved collection.
  Inventory as of this Action Requested Previously Approved
12/31/2008 12/31/2008 11/30/2005
175 0 1,167
4,200 0 28,008
0 0 0

CDC proposes to continue the currently approved data collection instrument related to the public health infrastructure and performance of local health jurisdictions. The data will be based on the framework of the ten essential services and will be used to monitor progress toward accomplishment of national infrastructure objectives included in Healthy People 2010 and by health officials/policy makers for quality improvement and srategic planning.

None
None


No

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

  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 175 1,167 0 -992 0 0
Annual Time Burden (Hours) 4,200 28,008 0 -23,808 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
08/19/2005


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