Influenza Virus Fax Oct-May 55.31

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 199046

Information Collection (IC) Details

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Influenza Virus Fax Oct-May 55.31
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Influenza Fax WHO Fax Form WHO fax form.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

5 0
   
State, Local, and Tribal Governments
 
   5 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 165 0 165 0 0 0
Annual IC Time Burden (Hours) 28 0 28 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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