Information Collection

Measures of Co-Occurring Infractructure

IC 45602 under ICR 200806-0930-002 · OMB 0930-0284.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Instrument Measures of Co-Occurring Infractructure	Form and Instruction
Instrument Instrument co-oc measures 080706.doc	Form and Instruction
Deal.PDF Comment - Deal	IC Document
Primrose.PDF Comment - Primrose	IC Document
shelton.PDF Comment - Shelton	IC Document
ZIALOGIC.PDF Comment - zialogic	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	Instrument	Instrument	co-oc measures 080706.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 242

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	242	242
Annual IC Time Burden (Hours)	1,101	1,101
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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