Information Collection

The National Electronic Disease Surveillance System City and State Weekly Reporting

IC 43618 under ICR 201011-0920-003 · OMB 0920-0728.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0728 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATT- 1A Lead Case Notification Message Mapping Guide 05172007.xls	Instruction
ATT- 6 Copy of MASTER Legacy to NEDSS Spreadsheet.xls	Instruction
ATT- 1B Lead Environmental Notification Message Mapping Guide 05172007.xls	Instruction
ATT- 1C Lead Lab Report Notification Message Mapping Guide 05172007.xls	Instruction
ATT- 1E Varicella Notification Message Mapping Guide 06052007.xls	Instruction
ATT- 1F Hepatitis Notification Message Mapping Guide 06202007.xls	Instruction
ATT- 10 NETSS Format Case Record Specifications.doc	Instruction
Case notification message mapping guide ATT- 8 Copy of Generic_Case_Notification_Message_Mapping_Guide_v.1.xls	Form and Instruction

IC Title:

The National Electronic Disease Surveillance System City and State Weekly Reporting

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ATT- 10 NETSS Format Case Record Specifications.doc	Yes	Yes	Fillable Printable
Instruction			ATT- 1A Lead Case Notification Message Mapping Guide 05172007.xls	Yes	Yes	Printable Only
Instruction			ATT- 6 Copy of MASTER Legacy to NEDSS Spreadsheet.xls	Yes	Yes	Printable Only
Instruction			ATT- 1B Lead Environmental Notification Message Mapping Guide 05172007.xls	Yes	Yes	Fillable Printable
Instruction			ATT- 1C Lead Lab Report Notification Message Mapping Guide 05172007.xls	Yes	Yes	Fillable Printable
Form and Instruction	none	Case notification message mapping guide	ATT- 8 Copy of Generic_Case_Notification_Message_Mapping_Guide_v.1.xls	Yes	Yes	Fillable Fileable
Instruction			ATT- 1E Varicella Notification Message Mapping Guide 06052007.xls	Yes	Yes	Fillable Printable
Instruction			ATT- 1F Hepatitis Notification Message Mapping Guide 06202007.xls	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,704	2,704
Annual IC Time Burden (Hours)	8,112	8,112
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.