Poison Help General Population Survey

ICR 201107-0915-001

OMB: 0915-0343

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supporting Statement B
2011-10-17
Supporting Statement A
2011-10-17
IC Document Collections
IC ID
Document
Title
Status
198611 New
ICR Details
0915-0343 201107-0915-001
Historical Active
HHS/HSA
Poison Help General Population Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 10/31/2011
Retrieve Notice of Action (NOA) 07/25/2011
  Inventory as of this Action Requested Previously Approved
10/31/2014 36 Months From Approved
2,353 0 0
370 0 0
0 0 0

The Poison Help campaign is the vehicle for introducing the national toll-free number for use in poisoning emergencies and providing poison prevention information to all age groups and audience segments. The overarching goals for the campaign are to raise awareness of the national toll-free number to levels on a par with 911 and 411 and to increase awareness of the availability of poison center services. Campaign messages and activities promote awareness of the national toll-free number, the role poison centers play and the services they provide in disseminating poison information and treatment advice in poisoning emergencies. The goal of HRSA's Poison Help General Population Telephone Survey is to evaluate the campaign's current performance. Assessment information will include awareness and use of the national toll-free number to access poison exposure or information services and awareness and knowledge of poison centers and the services they provide. The survey will allow for some comparisons with previous data, as well as comparisons with follow-up evaluation activities to be conducted in future years, and provide direction for future campaign initiatives.

None
None

Not associated with rulemaking

  76 FR 23602 04/27/2011
76 FR 37821 06/28/2011
No

1
IC Title Form No. Form Name
Poison Help General Population Survey 1, 2 Poison Help Survey Screener ,   Poison Help Survey Final

  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 2,353 0 0 2,353 0 0
Annual Time Burden (Hours) 370 0 0 370 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection. Therefore, there is a total annual increase of 370 burden hours due to agency discretion.

$109,200
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carla Haddad 301 443-0165 Carla.Haddad@hrsa.hhs.gov

  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.
07/25/2011


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