National Disease Surveillance Program - 1_ABCs Case Reports Change Request

National Disease Surveillance Program

OMB: 0920-0009

IC ID: 37710

Documents and Forms
Information Collection (IC) Details

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National Disease Surveillance Program - 1_ABCs Case Reports Change Request
 
No Modified
 
Voluntary
 

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

Health Public Health Monitoring

 

329 0
   
State, Local, and Tribal Governments
 
   100 %

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

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