Information Collection

National Disease Surveillance Program - 1. Case Reports

IC 6603 under ICR 200104-0920-010 · OMB 0920-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0009 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	National Disease Surveillance Program - 1. Case 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.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC-56.31A	Yes	Yes
Form	CDC-52.15	Yes	Yes
Form	CDC-52.56	Yes	Yes
Form	CDC-54.1	Yes	Yes
Form	CDC-53.1	Yes	Yes
Form	CDC-52.18	Yes	Yes
Form	CDC-52.60	Yes	Yes
Form	CDC-55.54	Yes	Yes
Form	CDC-56.37	Yes	Yes
Form	CDC-56.31B	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 82 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	131,148	41,919	89,229
Annual IC Time Burden (Hours)	34,038	6,928	27,110
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.