LONGITUDINAL STUDY ON AGING: PRETEST

ICR 198405-0937-002

OMB: 0937-0139

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
112374
Migrated
ICR Details
0937-0139 198405-0937-002
Historical Active
HHS/OASH
LONGITUDINAL STUDY ON AGING: PRETEST
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/20/1984
Retrieve Notice of Action (NOA) 05/03/1984
THIS CLEARANCE REQUEST FOR A PRETEST OF THE LONGITUDINAL STUDY ON AGIN HAS BEEN CLEARED FOR USE THRU 3/85 ONLY. ANY FUTURE REQUEST FOR CLEARANCE OF THE FULL STUDY MUST DEMONSTRATE CONCLUSIVELY THAT DATA ELEMENTS PROPOSED FOR COLLECTION ARE NOT DUPLICATIVE IN ANY WAY OF THE DATA BEING COLLECTED BY THE NUMEROUS STUDIES ON AGING BEING CONDUCTED BY VARIOUS COMPONENTS IN HHS. IF AND WHEN FURTHER APPROVAL IS REQUESTED, HHS SHOULD IDENTIFY THE SPECIFIC, EXISTING FEDERAL NEED WHICH NECESSITATES THIS STUDY AND CERTIFY THAT THIS NEED HAS NOT BEEN MET BY THE OTHER STUDIES SPONSORED BY THE DEPARTMENT.
  Inventory as of this Action Requested Previously Approved
03/31/1985 03/31/1985
365 0 0
85 0 0
0 0 0

THIS PROJECT IS A PRETEST OF THE LONGITUDINAL STUDY ON AGING BASED ON RESPONDENTS TO THE 1984 NHIS SUPPLEMENT ON AGING. THE FULL STUDY IS DESIGNED TO MAP THE PATH FROM INDEPENDENT LIVING THROUGH DEPENDENCY AND/OR INSTITUTIONALIZATION TO DEATH. THE RESPONDENT WILL BE RECONTACTED BY MAIL OR TELEPHONE WITH PERSONAL INTERVIEW FOLLOW-UP.

None
None


No

1
IC Title Form No. Form Name
LONGITUDINAL STUDY ON AGING: PRETEST

  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 365 0 0 365 0 0
Annual Time Burden (Hours) 85 0 0 85 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.
05/03/1984


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