Emergency Epidemic Investigations--State and Local Officials

Emergency Epidemic Investigations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Emergency Epidemic Investigations--State and Local Officials Form
2 State and Local Officials Questionnaire ATTACHMENT E - State Local Officials Quest Form_OMB 0920-0008.doc Form

Information Collection (IC) Details

IC Title:	Emergency Epidemic Investigations--State and Local Officials	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2	State and Local Officials Questionnaire	ATTACHMENT E - State Local Officials Quest Form_OMB 0920-0008.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemic Investigations Case Records	FR Citation: 51 FR 42466

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.