Influenza Virus Electronic year round - PHLIP

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 199051

Documents and Forms
Document Name
Document Type
Other-Variables for electronic repor
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Influenza Virus Electronic year round - PHLIP
 
No Modified
 
Voluntary
 

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

Health Public Health Monitoring

 

5 0
   
State, Local, and Tribal Governments
 
   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 260 0 0 0 0 260
Annual IC Time Burden (Hours) 22 0 0 0 0 22
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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