Metroplitan Atlanta Birth Defect and Risk Factor Surveillance Program

ICR 199607-0920-005

OMB: 0920-0010

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0010 199607-0920-005
Historical Active 199303-0920-003
HHS/CDC
Metroplitan Atlanta Birth Defect and Risk Factor Surveillance Program
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 09/12/1996
Retrieve Notice of Action (NOA) 07/19/1996
OMB approves this package contingent upon CDC making the changes identified in their correspondences of September 9 and 12, 1996.
  Inventory as of this Action Requested Previously Approved
09/30/1999 09/30/1999
1,600 0 0
1,280 0 0
0 0 0

Information collected by this program is needed by the CDC to monitor trends in birth defects and to uncover their causes. The information is collected via abstraction of hospital and clinic records, personal interviews, and clinical examinations and will be subjected to statistical analysis and reporting. The respondents are the parents of children with birth defects and normal "control" children. They are interviewed only once.

None
None


No

1
IC Title Form No. Form Name
Metroplitan Atlanta Birth Defect and Risk Factor Surveillance Program

  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 1,600 0 0 1,600 0 0
Annual Time Burden (Hours) 1,280 0 0 1,280 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
07/19/1996


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