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 Generic ICR - OIRA Conclusion

OMB Control No: 0920-0879	ICR Reference No: 201110-0920-004
Status: Historical Active	Previous ICR Reference No: 201102-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Surveys of State, Tribal, Local and Territorial (STLT) Governmental Health Agencies
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/14/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/13/2011
Terms of Clearance: Terms of clearance continue: roved consisent with the understanding that CDC will use this generic specifically for routine communications with public health officials to assess capacity and needs. This would not be the vehicle for submitting ICRs for gathering information from grantees about program performance or gathering in-depth information about programmatic needs. For ICs submitted under this generic ICR, CDC agrees to submit individual colletions to OMB, along with all necessary supporting statements (to include information about research design and analysis, burden estimates, approaches to address non-response bias, etc).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	03/31/2014	03/31/2014
Responses	120,240	0	21,480
Time Burden (Hours)	64,440	0	40,080
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	120,240	21,480	98,760
Annual Time Burden (Hours)	64,440	40,080	24,360
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The original submission was in error in requesting the annualized burden for this generic rather than the entire 3 years of estimated burden. This change request is for the complete 3 years of estimated burden.