Information Collection

CDC Annual Report Guide

IC 43059 under ICR 200104-3245-002 · OMB 3245-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

CDC Annual Report Guide

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1253A				No	No
Form	1253				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 270

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	270	0	270
Annual IC Time Burden (Hours)	7,560	0	7,560
Annual IC Cost Burden (Dollars)	108,000	-107,892,000	108,000,000

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.