Information Collection

National Vd Epidemiology Program

IC 165611 under ICR 197707-0920-002 · OMB 0920-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0001 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	NATIONAL VD EPIDEMIOLOGY PROGRAM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HSM 9.54	No	No
Form	CDC 9.2936A	No	No
Form	CDC 9.2936B	No	No
Form	CDC 9.54	No	No
Form	CDC 9.97	No	No
Form	CDC 9.64	No	No
Form	CDC 9.2127	No	No
Form	CDC 9.63	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	61,660	61,660
Annual IC Time Burden (Hours)	18,483	18,483
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.