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Enhanced Animal Rabies Surveillance Monthly Report
National Disease Surveillance Program - II. Disease Summaries
OMB: 0920-0004
IC ID: 178371
OMB.report
HHS/CDC
OMB 0920-0004
ICR 201304-0920-017
IC 178371
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:
2024-05-07 - No material or nonsubstantive change to a currently approved collection
2023-01-27 - Reinstatement with change of a previously approved collection
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
Federal Enterprise Architecture Business Reference Module
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 %
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
2,704
0
0
0
0
2,704
Annual IC Time Burden (Hours)
135
0
0
0
0
135
Annual IC Cost Burden (Dollars)
0
0
0
0
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.