National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request

National Disease Surveillance Program - 1. Case Reports

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form none assigned National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request Form
Proposed MRSA CRF 2007 (11_07_06).doc Instruction
none assigned MRSA Invasive MRSA CRF 2006.pdf Form

Information Collection (IC) Details

IC Title:	National Disease Surveillance Program - 1_ABC's Invasive MRSA Change Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	none assigned	MRSA	Invasive MRSA CRF 2006.pdf		Yes	Yes	Printable Only
Instruction			Proposed MRSA CRF 2007 (11_07_06).doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,608	4,608
Annual IC Time Burden (Hours)	768	768
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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