Information Collection

Enhanced Animal Rabies Surveillance Monthly Report

IC 178371 under ICR 201304-0920-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 55.28 Enhanced Animal Rabies Surveillance Monthly Report Form
55.28 Lab confirmed cases of rabies Enhanced Animal Rabies Surveillance.pdf Form
Enhanced Animal Rabies Surveillance cover sheet.docx Cover Sheet IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Enhanced Animal Rabies Surveillance Monthly Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	55.28	Lab confirmed cases of rabies	Enhanced Animal Rabies Surveillance.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

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: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,704	2,704
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Sheet	Enhanced Animal Rabies Surveillance cover sheet.docx	10/29/2010

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