View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0937-0195	ICR Reference No: 199202-0937-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/OASH	Agency Tracking No:
Title: PUBLIC HEALTH SYSTEM IMPACT STATEMENT, THIRD PARTY NOTIFICATION
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/01/1992
	Date Received in OIRA: 02/21/1992
Terms of Clearance: This information collection is approved subject to the following: PHS upon resubmission of this request shall assess whether this added one page summary really increases participation by state and local health agencies.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1994	05/31/1994
Responses	7,000	0	0
Time Burden (Hours)	1,167	0	0
Cost Burden (Dollars)	0	0	0

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