Information Collection

National Disease Surveillance Program - 1_ABCs Case Reports Change Request

IC 37710 under ICR 200906-0920-018 · OMB 0920-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Proposed ABCs_2007.pdf	Instruction
none assigned ABC ABCs_case_report_form_2005 updated.pdf	Form

IC Title:

National Disease Surveillance Program - 1_ABCs Case Reports Change Request

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
Instruction			Proposed ABCs_2007.pdf		Yes	Yes	Printable Only
Form	none assigned	ABC	ABCs_case_report_form_2005 updated.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 329

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	6,909	6,909
Annual IC Time Burden (Hours)	1,152	1,152
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.