Information Collection

Weekly and Annual Morbidity and Mortality Reports

IC 6596 under ICR 199805-0920-001 · OMB 0920-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0007 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Weekly and Annual Morbidity and Mortality Reports	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC-43.5A				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 179	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9,365	52	9,313
Annual IC Time Burden (Hours)	4,927	107	4,820
Annual IC Cost Burden (Dollars)	0	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.