Information Collection

NVEAIS Data Reporting Instrument

IC 206439 under ICR 201304-0920-007 · OMB 0920-0980.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0980 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NVEAIS Data Reporting Instrument	Form
NVEAIS Data Reporting Instrument Att4-NVEAIS Data Reporting Instrument 20130321.doc	Form
NVEAIS Screenshots Att7- Sample Screenshots of the Web-based NVEAIS 20130321.docx	Form

IC Title:

NVEAIS Data Reporting Instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	NVEAIS Data Reporting Instrument	Att4-NVEAIS Data Reporting Instrument 20130321.doc		Yes	Yes	Fillable Fileable
Form	none	NVEAIS Screenshots	Att7- Sample Screenshots of the Web-based NVEAIS 20130321.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	1,400	1,400
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.