Weekly and Annual Morbidity and Mortality Reports

Documents and Forms

Document Name Document Type
Attachment 3 NETSS record layout.pdf Instruction
Attachment 2Nationally Notifiable Infectious Diseases.doc Attachment 2 Nationally Notifiable Infectious Disease Record IC Document
Attachment 4 National notiafiable disease notfi cont.pdf Nationally Notiafiable Disease Notification Content IC Document
Attachment 8 Instr. for review of notifable disease.doc Instructions for Reveiwing Nofitable Diseases IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Weekly and Annual Morbidity and Mortality Reports	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
Instruction			Attachment 3 NETSS record layout.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 42 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,964	-9,365	12,329
Annual IC Time Burden (Hours)	2,964	-2,491	5,455
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 2 Nationally Notifiable Infectious Disease Record	Attachment 2Nationally Notifiable Infectious Diseases.doc	07/13/2007
Nationally Notiafiable Disease Notification Content	Attachment 4 National notiafiable disease notfi cont.pdf	07/13/2007
Instructions for Reveiwing Nofitable Diseases	Attachment 8 Instr. for review of notifable disease.doc	07/13/2007

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