0920-0004 Influenza-Like Illness (Oct-May) 55.20

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 178367

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

0920-0004 Influenza-Like Illness (Oct-May) 55.20
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Influenza Form 55.20 Annual FaxForm0607.wbk Yes Yes Fillable Printable

Health Public Health Monitoring

 

824 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 27,192 0 0 0 0 27,192
Annual IC Time Burden (Hours) 6,798 0 0 0 0 6,798
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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