NON-INFLUENZA ACUTE RESPIRATORY DISEASE SURVEILLANCE SYSTEM

ICR 197907-0920-003

OMB: 0920-0040

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
110650
Migrated
ICR Details
0920-0040 197907-0920-003
Historical Active
HHS/CDC
NON-INFLUENZA ACUTE RESPIRATORY DISEASE SURVEILLANCE SYSTEM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/31/1979
Retrieve Notice of Action (NOA) 07/12/1979
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980
1,680 0 0
1,680 0 0
0 0 0

USING EXISTING DATA IN MEDICAL INSTITUTIONS INFORMATION DESCRIBING LABORATORY TESTING, SIGNS, AND SYMPTOMS ARE COLLECTED TO INVESTIGATE THE EXTENT AND IMPACT OF NON-INFLUENZA ACUTE RESPIRATORY DISEASE.

None
None


No

1
IC Title Form No. Form Name
NON-INFLUENZA ACUTE RESPIRATORY DISEASE SURVEILLANCE SYSTEM

  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 1,680 0 0 0 1,680 0
Annual Time Burden (Hours) 1,680 0 0 0 1,680 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
07/12/1979


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