Weekly Influenza-like Illiness year round 55.20

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 199054

Information Collection (IC) Details

View Information Collection (IC)

Weekly Influenza-like Illiness year round 55.20
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 55.20 Weekly Influenza Like Illness Weekly ILI Reporting Form_55.20.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

1,260 0
   
State, Local, and Tribal Governments
 
   0 %

  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 65,520 0 0 0 0 65,520
Annual IC Time Burden (Hours) 16,380 0 0 0 0 16,380
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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