Information Collection

42 CFR Parts 54 a

IC 192280 under ICR 201003-0930-001 · OMB 0930-0242.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0242 can be found here:

Documents and Forms

Document Name Document Type
There are no instruments to this data collection.doc Other-Statement

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	42 CFR Parts 54 a	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Statement			There are no instruments to this data collection.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,505	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	1,478	1,478
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.