Information Collection

Ii. Disease Summaries, National Disease Surveillance_program

IC 110480 under ICR 199308-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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IC Title:	II. DISEASE SUMMARIES, NATIONAL DISEASE SURVEILLANCE_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	CDC 55.31	No	No
Form	55.20, 55.9,	No	No
Form	55.3, 55.28,	No	No
Form	52.19, 52.41	No	No
Form	52.20, 52.13	No	No
Form	52.12, 55.83	No	No
Form	55.8, 3.940	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	29,790	29,790
Annual IC Time Burden (Hours)	5,256	5,256
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.