Information Collection

State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (EPI-X)

IC 178792 under ICR 200702-0920-004 · OMB 0920-0636.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0636 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Revised-Zoom.doc	Instruction
Current-Zoom.doc Current-Zoom	IC Document

IC Title:

State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (EPI-X)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Instruction			Revised-Zoom.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current-Zoom	Current-Zoom.doc

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