Information Collection

The National Violent Death Reporting System - Retrieving and refile

IC 190915 under ICR 200910-0920-001 · OMB 0920-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 4. Data Flow Chart.doc	Instruction
Attachment 5 NVDRS Data Elements.doc Attachment 5 Data elements	IC Document

IC Title:

The National Violent Death Reporting System - Retrieving and refile

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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			Attachment 4. Data Flow Chart.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,000	27,000
Annual IC Time Burden (Hours)	13,500	13,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 5 Data elements	Attachment 5 NVDRS Data Elements.doc	09/16/2009

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