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 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				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.

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