Information Collection

Influenza Virus Electronic year round - PHLIP

IC 199051 under ICR 201108-0920-011 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
PHLIP HL7v2_3_1_APHL_Influenza_Msg_Guide_ORU_v1 0 2_r1.pdf Other-Variables for electronic repor
PHLIP cover sheet.docx PHLIP Coversheet IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Influenza Virus Electronic year round - PHLIP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Variables for electronic reporting			PHLIP HL7v2_3_1_APHL_Influenza_Msg_Guide_ORU_v1 0 2_r1.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	260	260
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PHLIP Coversheet	PHLIP cover sheet.docx	11/02/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.