Information Collection Request

Centers for Disease Control and Prevention (CDC) Secure Communications Network (Epi-X)

ICR 201012-0920-005 · OMB 0920-0636 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 7 Health Quality Promotion Form Modified Available
Form 6 Rabies Form Modified Available
Form 5 Global Migration and Quarantine Form Modified Available
Form 4 Arborviral Diseases Form Modified Available
Form 3 Environmental Health Form Modified Available
Form 2 Immunization and Respiratory Diseases Form Modified Available
Form 1 Epi X Customer Survey Form Modified Available
Form 7 Health Quality Promotion Form New Available
Form 6 Rabies Form New Available
Form 5 Global Migration and Quarantine Form New Available
Form 4 Arborviral Diseases Form New Available
Form 3 Environmental Health Form New Repair queued
Form 2 Immunization and Respiratory Diseases Form New Repair queued
Form 1 Epi X Customer Survey Form New Available
Supporting Statement B 20 Nov Epi-X.docx Supporting Statement B Uploaded 2010-11-15 Available
Attachment 10 webpage privacy policy.docx Supplementary Document Uploaded 2010-11-15 Available
Attachment 11 Email Script.docx Supplementary Document Uploaded 2010-11-15 Available
Attachment 10 webpage privacy policy.docx Supplementary Document Uploaded 2010-11-15 Repair queued
Supporting Statement A 20 Nov Epi-X.docx Supporting Statement A Uploaded 2010-11-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7104 State Epidemiologists Form ModifiedHealth Quality Promotion
7104 State Epidemiologists Form ModifiedRabies
7104 State Epidemiologists Form ModifiedGlobal Migration and Quarantine
7104 State Epidemiologists Form ModifiedArborviral Diseases
7104 State Epidemiologists Form ModifiedEnvironmental Health
7104 State Epidemiologists Form ModifiedImmunization and Respiratory Diseases
7104 State Epidemiologists Form ModifiedEpi X Customer Survey
195713 County Health Officials Form NewHealth Quality Promotion
195713 County Health Officials Form NewRabies
195713 County Health Officials Form NewGlobal Migration and Quarantine
195713 County Health Officials Form NewArborviral Diseases
195713 County Health Officials Form NewEnvironmental Health
195713 County Health Officials Form NewImmunization and Respiratory Diseases
195713 County Health Officials Form NewEpi X Customer Survey
195713 County Health Officials Other-Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 04/30/2011
1,000 0 1,000
167 0 167
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
County Health Officials 1, 2, 3, 4, 5, 6, 7 ,   ,   ,   ,   ,   ,  
State Epidemiologists 1, 2, 3, 4, 5, 6, 7 ,   ,   ,   ,   ,   ,  



Reginfo record details
  No