Information Collection

National Disease Surveillance Program - Ii. Case Summaries

IC 110478 under ICR 198708-0920-004 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

NATIONAL DISEASE SURVEILLANCE PROGRAM - II. CASE SUMMARIES

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 55.31	No	No
Form	55.20,55.9	No	No
Form	52.19,52.41	No	No
Form	55.28,4.124	No	No
Form	51.12	No	No
Form	52.20,52.13	No	No
Form	4.244,55.3	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	19,215	-363	19,578
Annual IC Time Burden (Hours)	5,168	-2,089	7,257
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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