Information Collection

The National Electronic Disease Surveillance System Territories Weekly Reporting

IC 183176 under ICR 200712-0920-009 · OMB 0920-0728.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0728 can be found here:

Documents and Forms

Document Name Document Type
ATT- 6 Copy of MASTER Legacy to NEDSS Spreadsheet.xls Instruction
ATT- 1A Lead Case Notification Message Mapping Guide 05172007.xls Instruction
ATT- 1B Lead Environmental Notification Message Mapping Guide 05172007.xls Instruction
ATT- 1C Lead Lab Report Notification Message Mapping Guide 05172007.xls Instruction
ATT- 1D TB Notification Message Mapping Guide 06052007.xls Instruction
ATT- 1E Varicella Notification Message Mapping Guide 06052007.xls Instruction
ATT- 1F Hepatitis Notification Message Mapping Guide 06202007.xls Instruction
ATT- 10 NETSS Format Case Record Specifications.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The National Electronic Disease Surveillance System Territories Weekly Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	ATT- 6 Copy of MASTER Legacy to NEDSS Spreadsheet.xls	Yes	Yes	Printable Only
Instruction	ATT- 1A Lead Case Notification Message Mapping Guide 05172007.xls	Yes	Yes	Printable Only
Instruction	ATT- 1B Lead Environmental Notification Message Mapping Guide 05172007.xls	Yes	Yes	Fillable Printable
Instruction	ATT- 1C Lead Lab Report Notification Message Mapping Guide 05172007.xls	Yes	Yes	Fillable Printable
Instruction	ATT- 1D TB Notification Message Mapping Guide 06052007.xls	Yes	Yes	Fillable Printable
Instruction	ATT- 1E Varicella Notification Message Mapping Guide 06052007.xls	Yes	Yes	Fillable Printable
Instruction	ATT- 1F Hepatitis Notification Message Mapping Guide 06202007.xls	Yes	Yes	Fillable Printable
Instruction	ATT- 10 NETSS Format Case Record Specifications.doc	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 96 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	260	260
Annual IC Time Burden (Hours)	390	390
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.